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General NPI Number Information
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NPI Number | 1922554583
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Entity Type | Individual
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Provider Name | MARY ELIZABETH STONEBRAKER NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 2034 SE 25TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33904-3238
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Country | US
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Telephone | 239-699-1082
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Fax | 239-984-8873
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Provider Business Mailing Address
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Address Line | 2034 SE 25TH TER
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City | CAPE CORAL
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State | FL
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Zip | 33904-3238
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Country | US
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Telephone | 239-699-1082
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Fax | 239-984-8873
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN79913-NP-C
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11001343
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License Number State | FL
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