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General NPI Number Information
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NPI Number | 1821208919
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Entity Type | Individual
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Provider Name | MR. NICHOLAS JOHN STETTNER
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Gender | Male
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2427 NOTTINGHAM WAY
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City | MERCERVILLE
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State | NJ
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Zip | 08619-4107
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Country | US
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Telephone | 609-587-1980
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Fax |
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Provider Business Mailing Address
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Address Line | 22 EAGLETON FARM RD
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City | NEWTOWN
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State | PA
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Zip | 18940-4214
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Country | US
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Telephone | 215-504-0389
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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 | 28RI01758000
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License Number State | NJ
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