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General NPI Number Information
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NPI Number | 1104427244
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Entity Type | Individual
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Provider Name | ERICA L LUSSIER RPH
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 11/05/2020
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Provider Practice Location Address
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Address Line | 6 HAMPTON DR
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City | LONDONDERRY
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State | NH
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Zip | 03053-3424
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Country | US
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Telephone | 603-421-0076
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SUNSHINE DR
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City | KINGSTON
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State | NH
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Zip | 03848-3545
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Country | US
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Telephone | 603-235-0766
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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 | 2838
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH22582
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License Number State | MA
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