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General NPI Number Information
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NPI Number | 1023395597
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Entity Type | Individual
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Provider Name | TAMER MAHERG WISA RPH
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Gender | Male
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 324 HANCOCK ST
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City | QUINCY
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State | MA
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Zip | 02171-2258
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Country | US
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Telephone | 617-471-0517
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Fax |
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Provider Business Mailing Address
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Address Line | 8 CHAUNCY ST APT 44
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City | WEYMOUTH
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State | MA
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Zip | 02190-2300
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Country | US
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Telephone | 201-238-4366
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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 | PH233380
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License Number State | MA
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