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General NPI Number Information
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NPI Number | 1871704668
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Entity Type | Individual
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Provider Name | ELIZABETH Q STEVENS FNP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 95 GRASSLANDS RD WESTCHESTER MEDICAL CENTER MACY PAVILLON RM 136
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City | VALHALLA
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State | NY
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Zip | 10595
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Country | US
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Telephone | 914-493-1722
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Fax |
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Provider Business Mailing Address
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Address Line | 3793 ANSLOW DR
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City | LELAND
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State | NC
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Zip | 28451-9498
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Country | US
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Telephone | 910-523-5316
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F333485
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License Number State | NY
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