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General NPI Number Information
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NPI Number | 1639497100
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Entity Type | Individual
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Provider Name | WENDY MARLA GOLD R.PH.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2010
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Last Update Date | 09/21/2022
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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 | 603-935-9108
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Provider Business Mailing Address
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Address Line | 27 ROSS RD
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City | DURHAM
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State | NH
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Zip | 03824-4221
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Country | US
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Telephone | 603-799-9012
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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 | PH236416
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License Number State | MA
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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 | PS32081
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 3070
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License Number State | NH
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