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General NPI Number Information
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NPI Number | 1598827206
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Entity Type | Individual
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Provider Name | MS. ELIZABETH ELAINE GAW
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Gender | Female
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Dates
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Enumeration Date | 12/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 270 LAFAYETTE RD
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City | SEABROOK
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State | NH
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Zip | 03874-4542
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Country | US
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Telephone | 603-474-2514
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Fax |
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Provider Business Mailing Address
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Address Line | 208 BRISTOL ST
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City | SEABROOK
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State | NH
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Zip | 03874-4703
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Country | US
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Telephone | 603-474-7195
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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 | 2973
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License Number State | NH
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