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General NPI Number Information
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NPI Number | 1619048436
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Entity Type | Individual
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Provider Name | STEVEN SHEARER R. PH
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1190 N 6TH ST
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City | MONMOUTH
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State | IL
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Zip | 61462-9672
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Country | US
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Telephone | 309-734-7579
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Fax |
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Provider Business Mailing Address
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Address Line | 4068 4TH STREET A
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City | EAST MOLINE
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State | IL
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Zip | 61244-3442
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Country | US
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Telephone | 309-755-3522
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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 |
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License Number State | IL
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