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NPI 1649873423

NPI 1649873423 : STUART SCHULMAN RPH : CONWAY, SC

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General NPI Number Information
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    NPI Number           |    1649873423
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    Entity Type          |    Individual 
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    Provider Name        |    STUART SCHULMAN RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/16/2020
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    Last Update Date     |    11/16/2020
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Provider Practice Location Address
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    Address Line         |    2996 E HIGHWAY 501 
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    City                 |    CONWAY
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    State                |    SC
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    Zip                  |    29526-9532
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    Country              |    US
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    Telephone            |    843-347-2613
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    618 INDIGO BAY CIR 
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    City                 |    MYRTLE BEACH
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    State                |    SC
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    Zip                  |    29579-3685
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    Country              |    US
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    Telephone            |    908-872-8534
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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       |    28RI02045400
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    License Number State |    NJ
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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       |    1053287
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    License Number State |    SC
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