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General NPI Number Information
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NPI Number | 1841891371
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Entity Type | Individual
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Provider Name | MICHAEL STUTZ
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Gender | Male
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Dates
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Enumeration Date | 11/02/2020
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Last Update Date | 11/02/2020
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Provider Practice Location Address
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Address Line | 500 TERRY RICH BLVD
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City | SAINT CLAIR
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State | PA
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Zip | 17970-1090
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Country | US
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Telephone | 570-429-2004
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Fax |
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Provider Business Mailing Address
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Address Line | 375 W BREWSTER RD
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City | BUTLER
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State | PA
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Zip | 16001-8501
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Country | US
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Telephone | 724-968-9578
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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 | RP452721
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License Number State | PA
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