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General NPI Number Information
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NPI Number | 1578816377
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Entity Type | Individual
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Provider Name | MURIEL DORVAL
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 1011 VETERANS MEMORIAL PKWY
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City | RIVERSIDE
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State | RI
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Zip | 02915-5061
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Country | US
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Telephone | 401-432-1282
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Fax |
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Provider Business Mailing Address
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Address Line | 55 JOHN REZZA DR
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City | NORTH ATTLEBORO
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State | MA
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Zip | 02763-4064
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Country | US
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Telephone | 401-578-0717
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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 | 3768
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 24416
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License Number State | MA
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