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General NPI Number Information
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NPI Number | 1487977575
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Entity Type | Individual
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Provider Name | MATTHEW P GRASSI RPH
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Gender | Male
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Dates
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Enumeration Date | 03/04/2010
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Last Update Date | 09/12/2013
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Provider Practice Location Address
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Address Line | 320 WEST BRIDGE ST PRICE CHOPPER PHARMACY 042
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City | CATSKILL
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State | NY
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Zip | 12414
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Country | US
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Telephone | 518-943-3909
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Fax | 518-943-9280
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Provider Business Mailing Address
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Address Line | 25 DORCHESTER AVE
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City | SELKIRK
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State | NY
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Zip | 12158-9759
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Country | US
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Telephone | 518-542-2351
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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 | 054310
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License Number State | NY
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