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General NPI Number Information
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NPI Number | 1023513876
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Entity Type | Individual
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Provider Name | ROSS BROTON
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Gender | Male
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 03/26/2018
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Provider Practice Location Address
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Address Line | 26191 JOHN J WILLIAMS HWY
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City | MILLSBORO
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State | DE
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Zip | 19966-4950
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Country | US
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Telephone | 302-945-6060
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Fax |
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Provider Business Mailing Address
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Address Line | 30396 ANDERSON DR UNIT 208
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City | OCEAN VIEW
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State | DE
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Zip | 19970-3857
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Country | US
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Telephone | 717-683-5950
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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 | A1-0005083
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License Number State | DE
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