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General NPI Number Information
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NPI Number | 1205335932
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Entity Type | Organization
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Legal Business Name | STEFL PHARMACY INC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 02/08/2018
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Provider Practice Location Address
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Address Line | 621 G AVE
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-1549
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Country | US
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Telephone | 319-824-5446
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Fax | 319-824-2033
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Provider Business Mailing Address
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Address Line | 621 G AVE
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-1549
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Country | US
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Telephone | 319-824-5446
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Fax | 319-824-2033
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RICHARD A RIESBERG
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Credential |
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Telephone | 319-824-5446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number | 834
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License Number State | IA
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