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General NPI Number Information
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NPI Number | 1629537675
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Entity Type | Individual
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Provider Name | ANNA KERIMOV BAHR PHARMD
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Gender | Female
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 250 COMMERCIAL ST STE 2012
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City | MANCHESTER
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State | NH
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Zip | 03101-1118
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Country | US
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Telephone | 855-745-5725
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Fax |
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Provider Business Mailing Address
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Address Line | 20 MELISSA DR
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City | PEMBROKE
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State | NH
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Zip | 03275-3110
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PHCY-04343
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License Number State | NH
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