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General NPI Number Information
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NPI Number | 1205139292
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Entity Type | Individual
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Provider Name | BRIANNA STAMM PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 1011 BAPTISTE DR
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City | PAOLA
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State | KS
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Zip | 66071-1342
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Country | US
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Telephone | 913-294-9125
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Fax | 913-294-9156
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Provider Business Mailing Address
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Address Line | 1011 BAPTISTE DR
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City | PAOLA
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State | KS
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Zip | 66071-1342
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Country | US
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Telephone | 913-294-9125
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Fax | 913-294-9156
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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 | 2009020960
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License Number State | MO
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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 | 1-16401
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License Number State | KS
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