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General NPI Number Information
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NPI Number | 1952961609
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Entity Type | Individual
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Provider Name | JOANNE STEVENS
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Gender | Female
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Dates
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Enumeration Date | 06/15/2019
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 1891 BILLINGSGATE CIR STE C
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City | HENRICO
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State | VA
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Zip | 23238-4242
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Country | US
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Telephone | 804-326-5150
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 VALLEY SIDE TER
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City | RICHMOND
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State | VA
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Zip | 23223-1163
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Country | US
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Telephone | 804-502-5172
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 0019007649
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State | VA
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