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General NPI Number Information
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NPI Number | 1235185851
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Entity Type | Organization
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Legal Business Name | SHAWS SUPERMARKETS INC
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 213 DANIEL WEBSTER HWY
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City | NASHUA
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State | NH
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Zip | 03060-6600
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Country | US
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Telephone | 603-888-0061
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Fax | 603-888-1834
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Provider Business Mailing Address
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Address Line | 3030 CULLERTON ST
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2205
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ASST MANAGER PLAN IMPLEMENTATION
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Name | DIONA TOWNSEND
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Credential |
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Telephone | 847-916-4513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 0519P
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License Number State | NH
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