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General NPI Number Information
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NPI Number | 1861447492
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Entity Type | Individual
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Provider Name | EMMA LOU STOLL M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 02/19/2016
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Provider Practice Location Address
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Address Line | 110 NE 5TH STREET
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City | CARRABELLE
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State | FL
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Zip | 32322-3529
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Country | US
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Telephone | 850-697-2345
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Fax | 850-653-1897
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Provider Business Mailing Address
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Address Line | PO BOX 580
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City | APALACHICOLA
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State | FL
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Zip | 32329-0580
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Country | US
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Telephone | 850-653-8853
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Fax | 850-653-1897
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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 | ME92047
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME92047
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ME9247
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License Number State | FL
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