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General NPI Number Information
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NPI Number | 1265036461
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Entity Type | Individual
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Provider Name | TEAL PURTZ
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Gender | Female
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Dates
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Enumeration Date | 11/28/2020
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Last Update Date | 11/28/2020
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Provider Practice Location Address
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Address Line | 5 MACY ST
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City | AMESBURY
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State | MA
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Zip | 01913-3706
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Country | US
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Telephone | 978-834-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 48 SUGAR HILL DR
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City | ELIOT
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State | ME
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Zip | 03903-1208
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Country | US
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Telephone | 978-807-6399
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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 | PH234624
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License Number State | MA
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