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NPI Code Detail

MEDICARE: STEPHANIE CHRISTINE PEARSON

MEDICARE: STEPHANIE CHRISTINE PEARSON
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
1175T00000XPeer SpecialistOH

General Provider Information

NPI Number : 1487535514
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE CHRISTINE PEARSON
Provider Business Mailing Address
First Line : 3411 OFFICE PARK DR STE 200
Second Line :
City : KETTERING
State : OH
Zip : 45439-2295
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3411 OFFICE PARK DR STE 200
Second Line :
City : KETTERING
State : OH
Zip : 45439-2295
Country : US
Telephone Number : 937-802-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2025
Last Update Date : 09/08/2025

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Directions to “ STEPHANIE CHRISTINE PEARSON ” Practice Location

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