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General NPI Number Information
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NPI Number | 1629007620
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Entity Type | Individual
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Provider Name | LEONA JEAN STEPHENS MD
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 11/07/2014
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Provider Practice Location Address
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Address Line | 3118 E 10TH ST
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-5904
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Country | US
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Telephone | 812-282-6979
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Fax | 812-282-6998
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Provider Business Mailing Address
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Address Line | PO BOX 950202
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City | LOUISVILLE
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State | KY
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Zip | 40295-0202
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Country | US
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Telephone | 502-588-9490
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Fax | 502-272-5116
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01059486A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40465
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License Number State | KY
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