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General NPI Number Information
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NPI Number | 1447488002
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Entity Type | Individual
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Provider Name | FREDRICK C POTTER R.PH.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2009
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Last Update Date | 06/23/2009
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Provider Practice Location Address
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Address Line | 331 MAIN ST
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City | NASHUA
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State | NH
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Zip | 03060-4601
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Country | US
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Telephone | 603-886-9210
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Fax | 603-886-1442
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Provider Business Mailing Address
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Address Line | 4 BELGIAN PL
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City | NASHUA
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State | NH
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Zip | 03062-3203
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Country | US
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Telephone | 603-566-8429
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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 | R1269
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License Number State | NH
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