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General NPI Number Information
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NPI Number | 1366653081
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Entity Type | Organization
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Legal Business Name | STEPHEN F. SCHOLLE MD PA
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 1661 ESTERO BLVD STE 1
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City | FORT MYERS BEACH
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State | FL
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Zip | 33931-2846
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Country | US
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Telephone | 239-765-0007
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Fax | 239-765-0247
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Provider Business Mailing Address
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Address Line | PO BOX 6970
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City | FORT MYERS BEACH
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State | FL
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Zip | 33932-6970
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Country | US
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Telephone | 239-765-0007
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Fax | 239-765-0247
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN F SCHOLLE
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Credential | MD
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Telephone | 239-765-0007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | ME0033695
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License Number State | FL
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