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General NPI Number Information
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NPI Number | 1780989772
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Entity Type | Individual
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Provider Name | KELLI DEAN STEPHENSON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2518 N MAIN ST
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City | MIAMI
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State | OK
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Zip | 74354-1602
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Country | US
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Telephone | 918-540-9077
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Fax | 918-540-9080
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Provider Business Mailing Address
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Address Line | PO BOX 13620
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City | OKLAHOMA CITY
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State | OK
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Zip | 73113-1629
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Country | US
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Telephone | 405-445-1210
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Fax | 405-445-3310
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 33371
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201394741NP-PP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP60494710
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 201800264NP-PP
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 33371
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 201800264NP-PP
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License Number State | OR
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Taxonomy #7
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 225099
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License Number State | OK
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