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General NPI Number Information
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NPI Number | 1053926121
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Entity Type | Individual
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Provider Name | LIBBY NICOLE STABLER PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 01/04/2023
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Provider Practice Location Address
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Address Line | 935 E SNYDER AVE
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City | MONTPELIER
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State | OH
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Zip | 43543-1251
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Country | US
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Telephone | 419-485-6132
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Fax |
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Provider Business Mailing Address
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Address Line | 4869 STATE ROUTE 500 PO BOX 546
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City | PAYNE
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State | OH
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Zip | 45880
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Country | US
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Telephone | 419-769-3859
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03440129
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License Number State | OH
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