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General NPI Number Information
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NPI Number | 1942272307
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Entity Type | Individual
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Provider Name | ROBERT BRIAN STEPHENSON MD
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Gender | Male
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Dates
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Enumeration Date | 02/01/2006
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 2900 LAMB CIR SUITE L-760
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-6344
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Country | US
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Telephone | 540-731-2436
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Fax | 540-731-2439
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Provider Business Mailing Address
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Address Line | 2900 LAMB CIRCLE SUITE L-760
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City | CHRISTIANSBURG
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State | VA
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Zip | 24073-6345
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Country | US
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Telephone | 540-731-2436
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Fax | 540-731-2439
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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 | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | 0101042429
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License Number State | VA
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