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General NPI Number Information
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NPI Number | 1871404152
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Entity Type | Individual
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Provider Name | YVONNE WHITE STEVENSON PH.D
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Gender | Female
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 6285 EMERALD POINTE CIR
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City | COLLEGE PARK
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State | GA
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Zip | 30349-4894
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Country | US
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Telephone | 770-256-6864
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Fax | 770-997-5474
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Provider Business Mailing Address
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Address Line | 6285 EMERALD POINTE CIR
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City | COLLEGE PARK
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State | GA
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Zip | 30349-4894
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Country | US
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Telephone | 770-256-6864
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Fax | 770-997-5474
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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 | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number | 039382074
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License Number State | GA
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