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General NPI Number Information
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NPI Number | 1679740237
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Entity Type | Individual
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Provider Name | DONALD B. STEPHENSON RN
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Gender | Male
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 05/13/2008
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Provider Practice Location Address
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Address Line | 10845 N 99TH AVE STE 6
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City | PEORIA
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State | AZ
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Zip | 85345-2406
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Country | US
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Telephone | 623-444-4570
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Fax |
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Provider Business Mailing Address
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Address Line | 7549 W CACTUS RD # 104-242
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City | PEORIA
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State | AZ
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Zip | 85381-5200
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Country | US
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Telephone | 602-330-1737
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Fax |
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 37832
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License Number State | CO
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