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General NPI Number Information
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NPI Number | 1427274752
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Entity Type | Individual
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Provider Name | JOSEPH WILLIAM LARUE R.PH.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3073 WHITE MOUNTAIN HWY MEMORIAL HOSPITAL
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5111
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Country | US
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Telephone | 603-356-5461
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 490
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City | NORTH CONWAY
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State | NH
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Zip | 03860-0490
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Country | US
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Telephone |
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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 | R1652
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License Number State | NH
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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 | RP-039987-L
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License Number State | PA
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