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General NPI Number Information
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NPI Number | 1558641043
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Entity Type | Individual
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Provider Name | STEPHEN SCHWAB PHARM D
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Gender | Male
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Dates
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Enumeration Date | 08/28/2011
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Last Update Date | 09/26/2012
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Provider Practice Location Address
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Address Line | 345 E 20TH ST
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City | DUBUQUE
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State | IA
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Zip | 52001-3514
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Country | US
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Telephone | 563-690-1836
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Fax | 563-690-1842
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Provider Business Mailing Address
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Address Line | 352 WESTSIDE DR
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City | IOWA CITY
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State | IA
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Zip | 52246-4352
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Country | US
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Telephone | 563-599-6619
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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 | 21031
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License Number State | IA
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