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General NPI Number Information
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NPI Number | 1962576256
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Entity Type | Individual
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Provider Name | STEPHANIE SCHULTZ RPH
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Gender | Female
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1050 W. PERIMETER RD
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City | ANDREWS AFB
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State | MD
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Zip | 20762
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Country | US
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Telephone | 240-857-8770
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Fax |
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Provider Business Mailing Address
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Address Line | 77 COMMONWEALTH AVE
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City | ALEXANDRIA
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State | VA
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Zip | 22301
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Country | US
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Telephone |
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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 | 4855
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License Number State | SD
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