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General NPI Number Information
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NPI Number | 1912508201
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Entity Type | Individual
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Provider Name | DONN STUBBS RPH
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Gender | Male
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Dates
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Enumeration Date | 11/04/2020
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 200 COMMERCE DR
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City | DUNCANSVILLE
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State | PA
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Zip | 16635-4845
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Country | US
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Telephone | 814-693-1435
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Fax |
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Provider Business Mailing Address
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Address Line | 112 SYLVAN OAKES DR
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City | HOLLIDAYSBURG
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State | PA
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Zip | 16648-2902
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Country | US
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Telephone | 814-312-4887
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RP046167R
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License Number State | PA
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