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NPI 1740332329

NPI 1740332329 : ROBERT C. STEPHENSON, M.D.,P.C. : PARIS, TN

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General NPI Number Information
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    NPI Number           |    1740332329
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROBERT C. STEPHENSON, M.D.,P.C. 
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Dates
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    Enumeration Date     |    01/17/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    301 TYSON AVE HENRY COUNTY MEDICAL CENTER EMERGENCY DEPARTMENT
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    City                 |    PARIS
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    State                |    TN
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    Zip                  |    38242-1030
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    Country              |    US
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    Telephone            |    731-644-8445
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    Fax                  |    731-644-8446
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1149 
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    City                 |    BELLS
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    State                |    TN
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    Zip                  |    38006-1149
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    Country              |    US
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    Telephone            |    731-512-0494
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    Fax                  |    731-512-0497
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Authorized Official
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    Title or Position    |    PRESIDENT  AND MEDICAL DIRECTOR
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    Name                 |    DR. ROBERT CHERRY STEPHENSON 
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    Credential           |    M.D.
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    Telephone            |    731-512-0494
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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       |    
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    License Number State |    TN
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