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General NPI Number Information
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NPI Number | 1699349423
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Entity Type | Individual
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Provider Name | EULIS RAY STEPP APRN
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Gender | Male
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 1840 CUMBERLAND FALLS HWY
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City | CORBIN
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State | KY
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Zip | 40701-2729
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Country | US
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Telephone | 606-523-4429
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Fax | 606-626-8255
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Provider Business Mailing Address
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Address Line | 1840 CUMBERLAND FALLS HWY
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City | CORBIN
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State | KY
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Zip | 40701-2729
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Country | US
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Telephone | 606-526-4429
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Fax | 606-626-8255
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | PENDING
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License Number State | KY
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