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General NPI Number Information
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NPI Number | 1033113568
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Entity Type | Individual
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Provider Name | MARY MARGARET STUNER CFNP
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 11116 PINE GROVE ROAD, SUITE B
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City | VESTABURG
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State | MI
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Zip | 48891
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Country | US
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Telephone | 989-268-1337
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Fax | 989-268-5452
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Provider Business Mailing Address
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Address Line | PO BOX 667
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City | MOUNT PLEASANT
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State | MI
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Zip | 48804-0667
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Country | US
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Telephone | 989-268-1337
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Fax | 989-268-5452
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704145370
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License Number State | MI
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