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General NPI Number Information
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NPI Number | 1053589531
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Entity Type | Individual
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Provider Name | JILL A MATTICE RPH
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Gender | Female
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 02/18/2008
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Provider Practice Location Address
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Address Line | 2617 HAMBURG ST
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City | SCHENECTADY
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State | NY
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Zip | 12303-3770
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Country | US
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Telephone | 518-355-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 65 JENKINS RD
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City | BURNT HILLS
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State | NY
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Zip | 12027-9793
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Country | US
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Telephone | 518-399-3728
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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 | 34843
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License Number State | NY
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