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General NPI Number Information
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NPI Number | 1730283755
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Entity Type | Individual
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Provider Name | MR. GARY STAPOLSY
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Gender | Male
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 301 BYBERRY RD APPT. B12
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City | PHILADELPHIA
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State | PA
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Zip | 19116-1947
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Country | US
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Telephone | 215-671-0510
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Fax |
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Provider Business Mailing Address
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Address Line | US ARMY MEDICAL DEPARTMENT ACTIVITY, JAPAN UNIT 45011, BLDG 704, ATTN: MCJA-QM
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City | APO
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State | AP
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Zip | 96338-5011
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Country | JP
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Telephone | 01181464078206
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Fax | 01181464078183
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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 | RP038012L
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License Number State | PA
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