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General NPI Number Information
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NPI Number | 1225413875
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Entity Type | Individual
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Provider Name | ANDREW WILLIAM STINE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/24/2015
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Last Update Date | 07/24/2015
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Provider Practice Location Address
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Address Line | 4265 MALL DR
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City | STEUBENVILLE
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State | OH
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Zip | 43952-3011
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Country | US
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Telephone | 740-264-1744
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Fax |
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Provider Business Mailing Address
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Address Line | 73 LIGHTNING LN
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City | KENT
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State | OH
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Zip | 44240-8204
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Country | US
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Telephone | 740-317-1871
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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 | 03334720
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License Number State | OH
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