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General NPI Number Information
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NPI Number | 1609926443
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Entity Type | Individual
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Provider Name | MICHELLE MARIE STAFFORD RPH
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Gender | Female
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 280 MIDDLETOWN BLVD
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City | LANGHORNE
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State | PA
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Zip | 19047-1816
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Country | US
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Telephone | 267-572-3220
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Fax |
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Provider Business Mailing Address
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Address Line | 74 STOCKTON CT
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City | NEWTOWN
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State | PA
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Zip | 18940-1658
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Country | US
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Telephone |
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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 | RP044713L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03031100
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License Number State | NJ
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