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General NPI Number Information
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NPI Number | 1629081344
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Entity Type | Individual
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Provider Name | RONDA RENEE STINSON R.P.
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Gender | Female
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 448 5TH ST
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City | SYRACUSE
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State | NE
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Zip | 68446
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Country | US
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Telephone | 402-269-2001
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Fax | 402-269-2828
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Provider Business Mailing Address
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Address Line | 323 COUNTRY RIDGE DR
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City | SYRACUSE
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State | NE
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Zip | 68446-7850
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Country | US
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Telephone | 402-269-3847
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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 | 11871
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License Number State | NE
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