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General NPI Number Information
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NPI Number | 1184756140
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Entity Type | Individual
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Provider Name | ELIZABETH DIFINI RPH
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Gender | Female
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 107 MAIN ST
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City | GREENFIELD
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State | MA
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Zip | 01301-3209
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Country | US
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Telephone | 413-774-2201
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Fax |
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Provider Business Mailing Address
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Address Line | 148 EDGEWATER RD
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City | AGAWAM
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State | MA
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Zip | 01001-2312
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Country | US
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Telephone | 413-789-6883
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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 | 25303
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License Number State | MA
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