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General NPI Number Information
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NPI Number | 1366876005
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Entity Type | Organization
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Legal Business Name | ROGERS FOX GROUP INC
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Dates
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Enumeration Date | 08/29/2013
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 416 WATERTOWN ST
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City | NEWTON
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State | MA
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Zip | 02458-1121
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Country | US
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Telephone | 617-244-3535
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Fax | 617-244-3655
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Provider Business Mailing Address
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Address Line | 416 WATERTOWN ST
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City | NEWTON
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State | MA
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Zip | 02458-1121
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Country | US
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Telephone | 617-244-3535
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Fax | 617-244-3655
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Authorized Official
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Title or Position | TREASURER
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Name | MARK FOSKIN
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Credential |
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Telephone | 617-244-3535
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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 | DS89901
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License Number State | MA
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