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General NPI Number Information
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NPI Number | 1376201178
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Entity Type | Individual
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Provider Name | BRANDON FRYE CPHT
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Gender | Male
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 86 ELM ST
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City | MILFORD
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State | NH
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Zip | 03055-4714
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Country | US
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Telephone | 603-249-9901
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Fax | 603-672-5288
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Provider Business Mailing Address
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Address Line | 29 PATCH HILL LN
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City | MILFORD
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State | NH
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Zip | 03055-4155
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Country | US
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Telephone | 603-769-7073
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | CPHT124849
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License Number State | NH
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