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NPI 1689973901

NPI 1689973901 : STEPHEN MICHAEL LAWLER BS, RPH : MOREHEAD CITY, NC

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General NPI Number Information
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    NPI Number           |    1689973901
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    Entity Type          |    Individual 
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    Provider Name        |    STEPHEN MICHAEL LAWLER BS, RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/25/2011
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    Last Update Date     |    03/25/2011
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Provider Practice Location Address
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    Address Line         |    2904 ARENDELL ST 
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    City                 |    MOREHEAD CITY
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    State                |    NC
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    Zip                  |    28557-3318
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    Country              |    US
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    Telephone            |    252-726-4104
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2904 ARENDELL ST 
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    City                 |    MOREHEAD CITY
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    State                |    NC
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    Zip                  |    28557-3318
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    Country              |    US
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    Telephone            |    252-726-4104
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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       |    17610
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    License Number State |    NC
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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       |    5851
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    License Number State |    CT
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