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General NPI Number Information
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NPI Number | 1760061121
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE BIECKER DO
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Gender | Female
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Dates
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Enumeration Date | 04/05/2021
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2195 HARRODSBURG RD STE 125
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City | LEXINGTON
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State | KY
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Zip | 40504-3543
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Country | US
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Telephone | 859-218-3064
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Fax | 859-257-8696
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Provider Business Mailing Address
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Address Line | 2195 HARRODSBURG RD STE 125
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City | LEXINGTON
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State | KY
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Zip | 40504-3543
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Country | US
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Telephone | 859-218-3064
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34.017070
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | TP321
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | TP321
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License Number State | KY
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