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General NPI Number Information
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NPI Number | 1982989505
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Entity Type | Individual
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Provider Name | JEFFREY ALLEN STALHEIM BS PHARMACY
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Gender | Male
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 6429 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541
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Country | US
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Telephone | 813-782-9571
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Fax | 813-780-6489
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Provider Business Mailing Address
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Address Line | 6429 GALL BLVD
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City | ZEPHYRHILLS
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State | FL
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Zip | 33541
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Country | US
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Telephone | 813-782-9571
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Fax | 813-780-6489
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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 | 019278
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License Number State | FL
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