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General NPI Number Information
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NPI Number | 1144551243
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Entity Type | Individual
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Provider Name | STEPHEN MICHAEL SEIDL R.PH.
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Gender | Male
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Dates
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Enumeration Date | 01/29/2010
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Last Update Date | 10/29/2015
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Provider Practice Location Address
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Address Line | 333 N SUMMIT ST
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City | TOLEDO
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State | OH
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Zip | 43604-1531
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Country | US
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Telephone | 608-509-8164
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Fax | 866-330-8681
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Provider Business Mailing Address
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Address Line | 50 WAUBESA ST
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City | MADISON
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State | WI
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Zip | 53704-5429
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Country | US
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Telephone | 608-509-8164
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Fax | 866-330-8681
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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 | 12179-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 21631
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302041163
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051295616
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License Number State | IL
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