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General NPI Number Information
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NPI Number | 1508334558
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Entity Type | Individual
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Provider Name | STEFAN LITZENBERGER DO
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Gender | Male
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Dates
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Enumeration Date | 11/07/2018
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 17 DAVIS BLVD STE 308
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City | TAMPA
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State | FL
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Zip | 33606
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Country | US
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Telephone | 813-974-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 30929 STONE ARCH AVE
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-8270
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Country | US
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Telephone | 253-380-4258
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OS17250
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License Number State | FL
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