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General NPI Number Information
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NPI Number | 1659939015
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Entity Type | Organization
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Legal Business Name | MARCIA A. STEPHENS APRN LLC
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 05/31/2019
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Provider Practice Location Address
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Address Line | 7450 MIAMI HILLS DR
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City | CINCINNATI
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State | OH
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Zip | 45243-1814
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Country | US
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Telephone | 513-300-3110
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 933325
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City | CLEVELAND
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State | OH
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Zip | 44193-0037
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Country | US
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Telephone | 859-291-4800
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARCIA STEPHENS
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Credential | NP
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Telephone | 513-300-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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