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General NPI Number Information
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NPI Number | 1932304839
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Entity Type | Individual
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Provider Name | HEATHER L STEVENS M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 6261 N LA CHOLLA BLVD STE 277
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City | TUCSON
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State | AZ
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Zip | 85741-3564
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Country | US
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Telephone | 520-877-3800
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Fax | 520-877-3801
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Provider Business Mailing Address
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Address Line | 2424 W. WYATT DR. SUITE 260
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City | TUCSON
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State | AZ
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Zip | 85712-6118
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Country | US
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Telephone | 520-545-0608
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Fax | 520-795-0354
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME106982
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 47645
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License Number State | AZ
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