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General NPI Number Information
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NPI Number | 1285699959
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Entity Type | Organization
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Legal Business Name | STAL PARTNERS LLC
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 8691 N MARCUS ST
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-2025
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Country | US
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Telephone | 478-864-2217
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Fax | 478-864-1985
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Provider Business Mailing Address
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Address Line | PO BOX 488
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City | WRIGHTSVILLE
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State | GA
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Zip | 31096-0488
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Country | US
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Telephone | 478-864-2217
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Fax | 478-864-1985
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Authorized Official
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Title or Position | PARTNER
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Name | STEPHENIE RAGAN
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Credential |
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Telephone | 478-864-2217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHRE010131
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License Number State | GA
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