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General NPI Number Information
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NPI Number | 1841572047
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Entity Type | Individual
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Provider Name | JOHN A STAMM JR. PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2011
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Last Update Date | 09/13/2011
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Provider Practice Location Address
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Address Line | 800 HWY A1A
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169
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Country | US
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Telephone | 386-426-0725
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Fax | 386-424-5919
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Provider Business Mailing Address
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Address Line | 800 HWY A1A
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32169
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Country | US
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Telephone | 386-426-0725
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Fax | 386-424-5919
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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 | PS34231
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License Number State | FL
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