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General NPI Number Information
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NPI Number | 1043590813
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Entity Type | Individual
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Provider Name | DAGNY E CARD PHARM D
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 08/24/2011
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Provider Practice Location Address
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Address Line | 200 MILL RD
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City | FAIRHAVEN
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State | MA
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Zip | 02719-5252
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Country | US
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Telephone | 508-910-0370
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BARSTOW ST
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City | LAKEVILLE
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State | MA
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Zip | 02347-1706
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Country | US
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Telephone | 401-297-6724
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 117464
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License Number State | MA
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