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General NPI Number Information
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NPI Number | 1316546484
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Entity Type | Individual
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Provider Name | WALTER J CIAMPA JR. RPH
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Gender | Male
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 100 CUMMINGS CTR STE 125Q
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City | BEVERLY
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State | MA
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Zip | 01915-6115
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Country | US
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Telephone | 978-406-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CUMMINGS CTR STE 125Q
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City | BEVERLY
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State | MA
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Zip | 01915-6115
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Country | US
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Telephone | 978-406-1192
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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 | PH23003
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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 | PHCY-05223
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS30913
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License Number State | FL
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