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General NPI Number Information
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NPI Number | 1033491014
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Entity Type | Individual
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Provider Name | JENNIFER ANN JOHNSON PHARMD. RPH
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Gender | Female
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Dates
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Enumeration Date | 09/15/2011
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Last Update Date | 09/15/2011
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Provider Practice Location Address
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Address Line | 166 WALNUT ST
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City | SAUGUS
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State | MA
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Zip | 01906-1994
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Country | US
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Telephone | 781-941-2690
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Fax |
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Provider Business Mailing Address
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Address Line | 19 ERNEST ST
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City | SAUGUS
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State | MA
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Zip | 01906-3833
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Country | US
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Telephone | 781-771-1508
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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 | PH233683
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License Number State | MA
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