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General NPI Number Information
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NPI Number | 1306386990
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Entity Type | Organization
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Legal Business Name | CVS/PHARMACY
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 03/01/2017
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Provider Practice Location Address
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Address Line | 345 HIGHLAND ST
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City | PLYMOUTH
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State | NH
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Zip | 03264-3609
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Country | US
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Telephone | 603-536-4079
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Fax |
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Provider Business Mailing Address
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Address Line | 31 N SULLOWAY ST
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City | FRANKLIN
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State | NH
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Zip | 03235-1210
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Country | US
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Telephone | 603-455-4312
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Fax |
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Authorized Official
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Title or Position | PHARMACIST
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Name | MONTANNA J PAULHUS
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Credential |
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Telephone | 603-455-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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