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General NPI Number Information
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NPI Number | 1235851668
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Entity Type | Individual
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Provider Name | SABRINA NAZARIO-JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 295 ACADEMY AVE
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City | PROVIDENCE
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State | RI
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Zip | 02908-4148
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Country | US
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Telephone | 401-273-7675
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Fax |
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Provider Business Mailing Address
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Address Line | 2 EMILYS WAY
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City | NORTH PROVIDENCE
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State | RI
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Zip | 02904-5173
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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 |
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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 | RPH06417
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License Number State | RI
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