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General NPI Number Information
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NPI Number | 1396317343
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Entity Type | Individual
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Provider Name | STEPHANIE KITOS APRN FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2021
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 4426 NE 83RD RD
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City | WILDWOOD
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State | FL
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Zip | 34785-9186
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Country | US
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Telephone | 352-415-0991
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Fax |
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Provider Business Mailing Address
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Address Line | 11585 RIVERSTONE CIR APT 2105
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City | OXFORD
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State | FL
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Zip | 34484-2307
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Country | US
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Telephone | 352-317-4784
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Fax |
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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 | APRN11006588
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License Number State | FL
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