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NPI 1336336320

NPI 1336336320 : MARY CHRIST STEMM RPH : ARCADIA, FL

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General NPI Number Information
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    NPI Number           |    1336336320
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    Entity Type          |    Individual 
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    Provider Name        |    MARY CHRIST STEMM RPH
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/03/2007
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    Last Update Date     |    10/04/2007
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Provider Practice Location Address
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    Address Line         |    5871 SE HIGHWAY 31 PHARMACY DEPT
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    City                 |    ARCADIA
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    State                |    FL
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    Zip                  |    34266-7679
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    Country              |    US
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    Telephone            |    863-491-5367
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    Fax                  |    863-993-4735
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Provider Business Mailing Address
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    Address Line         |    719 PARKVIEW RD PO BOX 1863
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    City                 |    ARCADIA
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    State                |    FL
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    Zip                  |    34266-3392
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    Country              |    US
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    Telephone            |    863-494-1893
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    Fax                  |    863-993-4735
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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       |    15531
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    License Number State |    FL
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