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General NPI Number Information
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NPI Number | 1558816827
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Entity Type | Individual
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Provider Name | NICHOLAS CALDARELLI
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Gender | Male
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 371 PUTNAM PIKE
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City | SMITHFIELD
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State | RI
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Zip | 02917-2440
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Country | US
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Telephone | 401-232-2854
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 54
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City | ALBION
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State | RI
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Zip | 02802-0054
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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 | PHL04567
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License Number State | RI
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