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General NPI Number Information
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NPI Number | 1710494497
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Entity Type | Individual
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Provider Name | TRAVIS JAMES STEVENS APRN
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Gender | Male
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 909 KENTON STATION DR
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City | MAYSVILLE
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State | KY
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Zip | 41056-9616
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Country | US
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Telephone | 606-759-5337
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Fax | 606-759-5337
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Provider Business Mailing Address
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Address Line | 909 KENTON STATION DR
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City | MAYSVILLE
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State | KY
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Zip | 41056-9616
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Country | US
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Telephone | 606-759-4050
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Fax | 606-759-1207
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3011944
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 025029
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License Number State | OH
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