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General NPI Number Information
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NPI Number | 1043840580
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Entity Type | Individual
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Provider Name | SARAH S CORREIA DOCTOR OF PHARMACY
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Gender | Female
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Dates
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Enumeration Date | 01/23/2020
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Last Update Date | 01/23/2020
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Provider Practice Location Address
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Address Line | 40 TEED DR
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City | RANDOLPH
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State | MA
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Zip | 02368-4202
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Country | US
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Telephone | 781-805-8712
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FULLER SHRS
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City | LAKEVILLE
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State | MA
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Zip | 02347-2453
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Country | US
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Telephone | 413-535-9170
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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 | PH233765
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License Number State | MA
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