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General NPI Number Information
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NPI Number | 1578163564
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Entity Type | Individual
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Provider Name | MRS. JAMIE L MACHAFFIE
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Gender | Female
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Dates
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Enumeration Date | 10/28/2020
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 555 HUBBARD AVE STE 12
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City | PITTSFIELD
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State | MA
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Zip | 01201-3841
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Country | US
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Telephone | 413-442-2241
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Fax |
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Provider Business Mailing Address
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Address Line | 555 HUBBARD AVE STE 12
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City | PITTSFIELD
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State | MA
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Zip | 01201-3841
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Country | US
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Telephone | 413-442-2241
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Fax | 413-442-2831
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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 | PH25146
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License Number State | MA
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