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General NPI Number Information
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NPI Number | 1285238295
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Entity Type | Individual
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Provider Name | BRITTANY CHLEBEK
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 1479 NEWMAN AVE
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City | SEEKONK
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State | MA
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Zip | 02771
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Country | US
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Telephone | 508-399-8801
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Fax |
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Provider Business Mailing Address
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Address Line | 13 FAXON ST
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City | FOXBORO
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State | MA
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Zip | 02035-2760
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Country | US
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Telephone | 508-446-1493
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 239597
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License Number State | MA
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