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General NPI Number Information
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NPI Number | 1073953444
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Entity Type | Individual
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Provider Name | COLEEN O'BRIEN DECHIARA RPH
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Gender | Female
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 25 HAVEN ST
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City | READING
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State | MA
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Zip | 01867-2930
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Country | US
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Telephone | 781-944-0633
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Fax |
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Provider Business Mailing Address
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Address Line | 7 RIDGEWOOD RD
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City | NORTH CHELMSFORD
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State | MA
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Zip | 01863-2214
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Country | US
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Telephone | 978-251-0529
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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 | PH21826
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License Number State | MA
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