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General NPI Number Information
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NPI Number | 1235131798
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Entity Type | Organization
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Legal Business Name | MWV HEALTH CARE ASSOC
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 01/13/2009
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Provider Practice Location Address
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Address Line | 3073 WHITE MOUNTAIN HWY
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City | N CONWAY
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State | NH
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Zip | 03860-5111
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Country | US
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Telephone | 603-356-0232
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Fax | 603-356-0275
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Provider Business Mailing Address
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Address Line | PO BOX 2540
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City | N CONWAY
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State | NH
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Zip | 03860-2540
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Country | US
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Telephone | 603-356-0232
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Fax | 603-356-0275
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Authorized Official
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Title or Position | PHARMACIST IN CHARGE
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Name | MS. JANICE SPINNEY
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Credential | RPH
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Telephone | 603-356-0232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0515P
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License Number State | NH
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