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General NPI Number Information
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NPI Number | 1720196223
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Entity Type | Individual
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Provider Name | STEPHEN WAYNE MILSTEAD PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/26/2006
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Last Update Date | 03/31/2008
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Provider Practice Location Address
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Address Line | 150 CHELSEA CORS
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City | CHELSEA
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State | AL
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Zip | 35043-7402
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Country | US
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Telephone | 205-678-8878
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 FOREST BROOK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35226-3222
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Country | US
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Telephone | 205-862-6957
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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 | 14407
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License Number State | AL
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