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General NPI Number Information
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NPI Number | 1477158632
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Entity Type | Individual
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Provider Name | STEPHEN GELTCH RPH BACHELOR
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Gender | Male
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Dates
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Enumeration Date | 12/03/2020
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Last Update Date | 12/03/2020
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Provider Practice Location Address
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Address Line | 330 FRANKLIN RD
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City | BRENTWOOD
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State | TN
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Zip | 37027-3280
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Country | US
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Telephone | 614-406-7964
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Fax |
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Provider Business Mailing Address
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Address Line | 5044 FALLING WATER RD
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City | NOLENSVILLE
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State | TN
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Zip | 37135-7448
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Country | US
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Telephone | 629-335-2569
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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 | 34027
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License Number State | TN
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