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General NPI Number Information
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NPI Number | 1306781646
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Entity Type | Individual
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Provider Name | ROBERT DOUGLAS RAIFF PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/22/2026
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Last Update Date | 04/22/2026
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Provider Practice Location Address
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Address Line | 356 MOUNTAIN VIEW DR
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City | COLCHESTER
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State | VT
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Zip | 05446-5985
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Country | US
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Telephone | 802-847-2880
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Fax |
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Provider Business Mailing Address
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Address Line | 1232 REMEY AVE
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City | WAKE FOREST
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State | NC
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Zip | 27587-3569
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Country | US
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Telephone | 919-282-7955
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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 | 22826
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License Number State | NC
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