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General NPI Number Information
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NPI Number | 1710957832
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Entity Type | Individual
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Provider Name | STEPHEN SINCLAIR OUTTEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 440 HOPKINSVILLE ST
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City | GREENVILLE
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State | KY
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Zip | 42345-1124
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Country | US
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Telephone | 270-338-8000
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Fax | 270-338-8333
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Provider Business Mailing Address
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Address Line | PO BOX 1306
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City | ORANGEBURG
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State | SC
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Zip | 29116-1306
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Country | US
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Telephone | 803-536-2555
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Fax | 803-536-0998
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 68928
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 000653
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2070
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C2999
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | N7855
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License Number State | TX
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