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General NPI Number Information
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NPI Number | 1487255964
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Entity Type | Individual
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Provider Name | JOSEPH STENBERG PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/03/2020
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 1700 W MICHIGAN AVE
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City | JACKSON
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State | MI
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Zip | 49202-4005
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Country | US
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Telephone | 517-817-0378
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Fax | 517-817-0385
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Provider Business Mailing Address
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Address Line | 3710 RYAN DR
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City | DEXTER
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State | MI
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Zip | 48130-9230
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Country | US
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Telephone | 734-882-9082
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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 | 5302041453
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License Number State | MI
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