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General NPI Number Information
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NPI Number | 1891999827
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Entity Type | Individual
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Provider Name | STEPHEN PATRICK WARD RPH.
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Gender | Male
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 6133 ROUTE 219 SUITE 1004
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City | ELLICOTTVIILLE
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State | NY
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Zip | 14731
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Country | US
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Telephone | 716-699-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 6010 CHRISTIAN HOLLOW RD
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City | GREAT VALLEY
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State | NY
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Zip | 14741-9747
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Country | US
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Telephone | 716-945-1605
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Fax | 716-699-5508
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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 | 32810
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License Number State | NY
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