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NPI Code Detail

MEDICARE: STEPHANIE LEE BULL

MEDICARE: STEPHANIE LEE BULL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianNC

General Provider Information

NPI Number : 1376471409
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEE BULL
Provider Business Mailing Address
First Line : 89 PACKETT CIR
Second Line :
City : FORT BRAGG
State : NC
Zip : 28307-1539
Country : US
Telephone Number : 757-894-4363
Fax Number :
Provider Business Practice Location Address
First Line : 920 CAMBRIDGE ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28303-5300
Country : US
Telephone Number : 910-493-3555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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Directions to “ STEPHANIE LEE BULL ” Practice Location

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