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General NPI Number Information
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NPI Number | 1487155099
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Entity Type | Individual
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Provider Name | EVAN STUTCHIN DO
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Gender | Male
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Dates
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Enumeration Date | 02/28/2018
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 8991 DANIELS CENTER DR STE 105
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City | FORT MYERS
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State | FL
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Zip | 33912-0317
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Country | US
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Telephone | 239-440-6456
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Fax | 239-236-0337
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Provider Business Mailing Address
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Address Line | PO BOX 9279
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City | JUPITER
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State | FL
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Zip | 33468-9279
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Country | US
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Telephone | 239-440-6456
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Fax | 239-236-0337
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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 | OS021253
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | OS20914
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License Number State | FL
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