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General NPI Number Information
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NPI Number | 1902918188
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Entity Type | Individual
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Provider Name | WENDY JEAN STEVISON PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/09/2025
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Provider Practice Location Address
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Address Line | 5601 ARRINGDON PARK DR STE 300
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City | MORRISVILLE
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State | NC
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Zip | 27560-5677
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Country | US
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Telephone | 919-660-5066
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Fax | 919-660-5044
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Provider Business Mailing Address
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Address Line | 3451 PINE RIDGE RD BLDG 601
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City | NAPLES
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State | FL
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Zip | 34109-3922
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Country | US
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Telephone | 239-449-3072
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Fax | 877-334-1886
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9107058
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0010-09916
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License Number State | NC
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