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NPI 1073731360

NPI 1073731360 : ANGELA M. MORIN PHARMD : SOUTH YARMOUTH, MA

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General NPI Number Information
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    NPI Number           |    1073731360
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA M. MORIN PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2007
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    Last Update Date     |    11/01/2007
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Provider Practice Location Address
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    Address Line         |    1108 ROUTE 28 
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    City                 |    SOUTH YARMOUTH
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    State                |    MA
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    Zip                  |    02664-4463
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    Country              |    US
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    Telephone            |    508-394-2513
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    Fax                  |    508-394-2567
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Provider Business Mailing Address
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    Address Line         |    237 OLD MILL RD 
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    City                 |    MARSTONS MILLS
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    State                |    MA
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    Zip                  |    02648-1054
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    Country              |    US
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    Telephone            |    508-394-2513
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    Fax                  |    508-394-2567
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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       |    26680
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    License Number State |    MA
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