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General NPI Number Information
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NPI Number | 1568875383
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Entity Type | Organization
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Legal Business Name | RITE AID
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Dates
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Enumeration Date | 06/09/2014
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Last Update Date | 06/09/2014
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Provider Practice Location Address
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Address Line | 910 ROUTE 16
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City | OSSIPEE
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State | NH
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Zip | 03864-7171
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Country | US
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Telephone | 603-530-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 910 ROUTE 16
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City | OSSIPEE
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State | NH
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Zip | 03864-7171
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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 | PHARMACIST
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Name | DR. AMANDA ROBERTS
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Credential | PHARMD
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Telephone | 603-767-8197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 3920
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License Number State | NH
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