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General NPI Number Information
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NPI Number | 1871801365
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Entity Type | Individual
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Provider Name | STEPHANIE CAROLINE CONLEY ANP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2010
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 475 KILVERT ST
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City | WARWICK
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State | RI
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Zip | 02886-1379
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Country | US
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Telephone | 615-224-5438
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Fax |
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Provider Business Mailing Address
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Address Line | 1009 WINDCROSS CT STE 101
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City | FRANKLIN
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State | TN
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Zip | 37067-2678
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Country | US
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Telephone | 615-224-5438
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN284380
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | NPP37841
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License Number State | RI
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