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General NPI Number Information
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NPI Number | 1316265085
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Entity Type | Individual
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Provider Name | WILLIAM J. STANTON RPH
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Gender | Male
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 6105 NE 114TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98662-6335
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Country | US
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Telephone | 360-254-3848
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Fax | 360-254-0937
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Provider Business Mailing Address
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Address Line | 6105 NE 114TH AVE
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City | VANCOUVER
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State | WA
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Zip | 98662-6335
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Country | US
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Telephone | 360-254-3848
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Fax | 360-254-0937
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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 | PH 00010025
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License Number State | WA
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