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General NPI Number Information
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NPI Number | 1235432501
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Entity Type | Individual
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Provider Name | RICHARD M PFEIFFER III MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2010
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 54 MILLER ST 4TH FLOOR
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City | QUINCY
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State | MA
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Zip | 02169-4725
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Country | US
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Telephone | 617-472-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 62 BROWN ST SUITE 507
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City | HAVERHILL
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State | MA
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Zip | 01830-6778
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Country | US
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Telephone | 617-472-5005
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN260534
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License Number State | MA
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