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General NPI Number Information
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NPI Number | 1093099673
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Entity Type | Individual
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Provider Name | BRIAN C MENESES PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 369 PLYMOUTH AVE
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City | FALL RIVER
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State | MA
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Zip | 02721-4215
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Country | US
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Telephone | 508-730-2902
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Fax |
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Provider Business Mailing Address
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Address Line | 387 QUARRY ST STE 103
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City | FALL RIVER
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State | MA
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Zip | 02723-1026
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Country | US
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Telephone | 774-322-1335
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Fax | 508-617-4546
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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 | PH232638
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License Number State | MA
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