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General NPI Number Information
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NPI Number | 1518938273
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Entity Type | Individual
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Provider Name | LORA ANN STEPHENS DO
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Gender | Female
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Dates
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Enumeration Date | 01/31/2006
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Last Update Date | 09/30/2016
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Provider Practice Location Address
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Address Line | 12511 WORLD PLAZA LN BLDG 50
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City | FORT MYERS
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State | FL
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Zip | 33907-3991
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Country | US
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Telephone | 239-939-2622
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Fax | 239-939-0151
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Provider Business Mailing Address
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Address Line | 12511 WORLD PLAZA LN BLDG 50
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City | FORT MYERS
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State | FL
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Zip | 33907-3991
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Country | US
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Telephone | 239-939-2622
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Fax | 239-939-0151
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5101009746
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | OS14218
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License Number State | FL
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