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General NPI Number Information
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NPI Number | 1881557643
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Entity Type | Individual
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Provider Name | LILY STINECIPHER
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Gender | Female
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 101 TRINITY PL
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City | ATHENS
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State | GA
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Zip | 30607-2112
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Country | US
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Telephone | 706-397-6445
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Fax |
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Provider Business Mailing Address
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Address Line | 3714 S HIGHWAY 100
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City | BOWDON
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State | GA
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Zip | 30108-3126
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Country | US
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Telephone | 404-272-9371
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | BACB1409817
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License Number State | GA
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