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General NPI Number Information
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NPI Number | 1871070961
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Entity Type | Individual
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Provider Name | ANGELA MARIE STEVENS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2018
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 14229 RAINIER PEAK XING
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City | CONROE
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State | TX
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Zip | 77384-1503
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Country | US
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Telephone | 214-223-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 2-E INDUSTRIAL PARK DR UNIT 260
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City | WALDORF
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State | MD
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Zip | 20602
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Country | US
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Telephone | 214-223-8524
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1166684
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AC006682
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 866082
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License Number State | TX
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