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General NPI Number Information
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NPI Number | 1528689106
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Entity Type | Organization
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Legal Business Name | D2RX
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 05/05/2020
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Provider Practice Location Address
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Address Line | 233 MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06051-4204
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Country | US
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Telephone | 860-225-6487
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Fax | 860-828-4165
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Provider Business Mailing Address
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Address Line | 543 W MAIN ST
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City | NEW BRITAIN
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State | CT
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Zip | 06053-3915
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Country | US
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Telephone | 860-225-6487
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Fax | 860-828-4165
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MELISSA ANN BOSSE
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Credential |
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Telephone | 860-225-6487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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