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General NPI Number Information
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NPI Number | 1366719437
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Entity Type | Individual
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Provider Name | TRUDY STEBER PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 15350 W BLUEMOUND RD
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City | ELM GROVE
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State | WI
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Zip | 53122-2307
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Country | US
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Telephone | 262-789-6819
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 SHOAL RIDGE RD
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City | OCONOMOWOC
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State | WI
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Zip | 53066-4270
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Country | US
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Telephone | 262-567-2548
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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 | 13507-040
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License Number State | WI
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