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General NPI Number Information
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NPI Number | 1710847025
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Entity Type | Individual
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Provider Name | XIAOMAN STEPHENS BSN, RN, CPN, CLC
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 140-15B SANDFORD AVE FLR 2
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-358-8288
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Fax |
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Provider Business Mailing Address
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Address Line | 140-15B SANDFORD AVE FLR 2
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-358-8288
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 202544912
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 781011
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 355730
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License Number State |
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