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General NPI Number Information
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NPI Number | 1831674159
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Entity Type | Individual
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Provider Name | STEPHEN RAY BABYAK
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Gender | Male
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Dates
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Enumeration Date | 10/02/2018
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Last Update Date | 10/02/2018
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Provider Practice Location Address
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Address Line | 685 N MAIN ST
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City | GREENSBURG
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State | PA
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Zip | 15601-1600
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Country | US
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Telephone | 724-837-4164
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Fax |
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Provider Business Mailing Address
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Address Line | 511 KISKI AVENUE EXT
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City | APOLLO
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State | PA
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Zip | 15613-8016
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Country | US
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Telephone | 724-980-2678
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | RP452817
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License Number State | PA
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