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General NPI Number Information
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NPI Number | 1912018755
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Entity Type | Individual
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Provider Name | AMANDA C STEBBINS O.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/08/2014
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Provider Practice Location Address
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Address Line | 7335 W SAND LAKE RD SUITE 119
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City | ORLANDO
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State | FL
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Zip | 32819-5538
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Country | US
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Telephone | 407-409-8123
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Fax | 407-409-8124
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Provider Business Mailing Address
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Address Line | 7335 W SAND LAKE RD SUITE 119
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City | ORLANDO
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State | FL
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Zip | 32819-5538
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Country | US
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Telephone | 407-409-8123
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Fax | 407-409-8124
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC004107
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2494
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License Number State | CO
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