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General NPI Number Information
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NPI Number | 1497350219
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Entity Type | Individual
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Provider Name | MATTHEW GARSEN CHIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/01/2020
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Last Update Date | 12/01/2020
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Provider Practice Location Address
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Address Line | 4600 WASHINGTON ST
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City | ROSLINDALE
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State | MA
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Zip | 02131-4832
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Country | US
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Telephone | 617-469-6302
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Fax |
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Provider Business Mailing Address
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Address Line | 26 VAN ROOSEN RD
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City | NEWTON
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State | MA
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Zip | 02459-3541
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Country | US
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Telephone | 617-964-3706
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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 | PH233606
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License Number State | MA
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