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General NPI Number Information
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NPI Number | 1124221577
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Entity Type | Individual
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Provider Name | STUART JAMES REMUS RPH
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 COUNTY ROAD B W
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City | MAPLEWOOD
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State | MN
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Zip | 55117-1931
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Country | US
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Telephone | 651-489-6271
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Fax | 651-487-0966
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Provider Business Mailing Address
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Address Line | 4705 DEBRA LN
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City | SHOREVIEW
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State | MN
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Zip | 55126-5826
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Country | US
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Telephone | 651-481-7829
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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 | 13908
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License Number State | MN
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