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NPI 1245391572

NPI 1245391572 : ANNA MARIA WOJAS PHARMD : HANSCOM AFB, MA

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General NPI Number Information
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    NPI Number           |    1245391572
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    Entity Type          |    Individual 
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    Provider Name        |    ANNA MARIA WOJAS PHARMD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/12/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    90 VANDENBERG DR 
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    City                 |    HANSCOM AFB
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    State                |    MA
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    Zip                  |    01731-2104
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    Country              |    US
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    Telephone            |    781-377-9978
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    117 WATERHILL ST 
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    City                 |    LYNN
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    State                |    MA
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    Zip                  |    01905-2111
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    Country              |    US
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    Telephone            |    617-515-2016
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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       |    26234
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    License Number State |    MA
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