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General NPI Number Information
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NPI Number | 1255352506
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Entity Type | Individual
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Provider Name | STEPHEN STURN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 12/17/2010
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Provider Practice Location Address
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Address Line | 1864 N ALAFAYA TRL
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City | ORLANDO
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State | FL
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Zip | 32826-4733
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Country | US
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Telephone | 407-384-1414
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Fax | 407-384-1314
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Provider Business Mailing Address
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Address Line | 631 PALM SPRINGS DR SUITE 117
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7854
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Country | US
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Telephone | 407-339-5600
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Fax | 407-339-5602
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME0069811
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License Number State | FL
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