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General NPI Number Information
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NPI Number | 1215218359
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Entity Type | Individual
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Provider Name | ERIC STENGLEIN
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Gender | Male
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 09/02/2011
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Provider Practice Location Address
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Address Line | 14525 EUCLID AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-3426
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Country | US
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Telephone | 216-851-1472
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Fax |
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Provider Business Mailing Address
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Address Line | 9426 CLIFTON BLVD
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City | CLEVELAND
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State | OH
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Zip | 44102-1612
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Country | US
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Telephone | 330-466-2400
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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 | RPH.03129906-1
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License Number State | OH
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