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General NPI Number Information
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NPI Number | 1932668753
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Entity Type | Individual
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Provider Name | STEPHANIE LYNN CARMEAN MD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 1351 SILHAVY RD STE 100
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City | VALPARAISO
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State | IN
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Zip | 46383-9583
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Country | US
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Telephone | 219-228-4200
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Fax |
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Provider Business Mailing Address
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Address Line | 9200 CALUMET AVE STE N203
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City | MUNSTER
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State | IN
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Zip | 46321-5810
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Country | US
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Telephone | 219-221-1619
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01089379A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 036.161178
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License Number State | IL
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