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General NPI Number Information
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NPI Number | 1962546390
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Entity Type | Individual
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Provider Name | BONNIE L STEPHENS OTR-L
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Gender | Female
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5740 WINDMILL WAY SUITE 15
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City | CARMICHAEL
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State | CA
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Zip | 95608-1379
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Country | US
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Telephone | 916-482-7698
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Fax | 916-482-7798
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Provider Business Mailing Address
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Address Line | 2213 RIVER TRAILS CIR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2222
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Country | US
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Telephone | 916-362-0078
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Fax | 916-369-5304
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OT3491
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License Number State | CA
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