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General NPI Number Information
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NPI Number | 1285629675
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Entity Type | Individual
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Provider Name | MARY F STUEVER D.O
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Gender | Female
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Dates
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Enumeration Date | 09/13/2005
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | UNIT 33100
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City | APO
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State | AE
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Zip | 09180-3100
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Country | US
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Telephone | 317-590-7171
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Fax |
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Provider Business Mailing Address
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Address Line | 234 GOODMAN ST
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City | CINCINNATI
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State | OH
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Zip | 45219-2364
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Country | US
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Telephone | 513-475-8787
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Fax | 513-874-4579
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OP61561881
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 34012207
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | OP61561881
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 34012207
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 34012207
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License Number State | OH
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