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General NPI Number Information
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NPI Number | 1881019867
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Entity Type | Individual
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Provider Name | STEPHANIE E STEELE-WREN PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 08/14/2022
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Provider Practice Location Address
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Address Line | 809 SE 28TH ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-4268
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Country | US
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Telephone | 338-779-9675
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Fax |
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Provider Business Mailing Address
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Address Line | 809 SE 28TH ST STE 1
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City | BENTONVILLE
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State | AR
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Zip | 72712-4268
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Country | US
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Telephone | 833-779-9675
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Fax | 833-779-9675
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10542
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 202154
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License Number State | AR
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