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General NPI Number Information
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NPI Number | 1629266796
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Entity Type | Organization
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Legal Business Name | S T E P H INC
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Dates
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Enumeration Date | 10/14/2007
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 609 SW 19TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2049
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Country | US
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Telephone | 754-581-2844
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Fax | 954-463-0457
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Provider Business Mailing Address
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Address Line | 609 SW 19TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33315-2049
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Country | US
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Telephone | 754-581-2844
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Fax | 954-463-0457
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MS. STEPHANIE H. FORD
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Credential | ARNP
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Telephone | 754-581-2844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP 9191721
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License Number State | FL
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