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General NPI Number Information
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NPI Number | 1699067017
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Entity Type | Individual
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Provider Name | TERRELL NABSETH STEVENSON MD
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Gender | Female
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Dates
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Enumeration Date | 05/03/2011
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Last Update Date | 04/28/2024
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Provider Practice Location Address
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Address Line | 725 WELCH RD
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City | PALO ALTO
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State | CA
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Zip | 94304-1601
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Country | US
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Telephone | 650-497-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 733 BORELLO WAY
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94041-2501
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Country | US
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Telephone | 650-996-8387
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A122108
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A122108
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License Number State | CA
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