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NPI 1306987748

NPI 1306987748 : BRIAN E. STELTZ RPH : PAOLI, PA

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General NPI Number Information
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    NPI Number           |    1306987748
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    Entity Type          |    Individual 
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    Provider Name        |    BRIAN E. STELTZ RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/09/2007
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    Last Update Date     |    02/06/2020
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Provider Practice Location Address
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    Address Line         |    23 INDUSTRIAL BLVD 
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    City                 |    PAOLI
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    State                |    PA
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    Zip                  |    19301
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    Country              |    US
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    Telephone            |    610-578-0411
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8 REYNARD RD 
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    City                 |    MALVERN
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    State                |    PA
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    Zip                  |    19355-3521
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    Country              |    US
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    Telephone            |    610-337-1730
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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       |    A10003014
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    License Number State |    DE
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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       |    28RI02654200
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    License Number State |    NJ
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Taxonomy #3
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    Taxonomy Code        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    RP040820L
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    License Number State |    PA
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