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General NPI Number Information
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NPI Number | 1285987727
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Entity Type | Individual
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Provider Name | JENNIFER A PERLITCH RPH
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Gender | Female
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Dates
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Enumeration Date | 10/22/2012
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 400 BLUE HILL DR SUITE 200
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City | WESTWOOD
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State | MA
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Zip | 02090-2164
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Country | US
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Telephone | 617-754-1077
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Fax |
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Provider Business Mailing Address
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Address Line | 1 AMBER WAY
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City | GROVELAND
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State | MA
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Zip | 01834-2108
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Country | US
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Telephone | 978-697-4983
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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 | 24639
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP-038651-T
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License Number State | PA
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