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General NPI Number Information
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NPI Number | 1326207580
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Entity Type | Individual
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Provider Name | GAIL MARIE STAUB PHARMD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 7418 TWIN OAKS COURT
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City | FRANKLIN
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State | WI
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Zip | 53132-2704
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Country | US
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Telephone | 414-858-2488
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Fax |
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Provider Business Mailing Address
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Address Line | 7418 W TWIN OAKS CT
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City | FRANKLIN
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State | WI
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Zip | 53132-2704
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Country | US
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Telephone | 414-858-2488
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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 | 12136-040
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License Number State | WI
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