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General NPI Number Information
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NPI Number | 1487291563
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Entity Type | Individual
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Provider Name | ANGELA M RUGGIERO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 12/07/2019
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Last Update Date | 12/07/2019
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Provider Practice Location Address
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Address Line | 101 PAGE ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-3464
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Country | US
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Telephone | 508-973-5450
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Fax |
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Provider Business Mailing Address
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Address Line | 152 FEDERAL FURNACE RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-4762
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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 | PR69127
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License Number State | ME
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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 | PH238748
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License Number State | MA
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