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General NPI Number Information
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NPI Number | 1689210940
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Entity Type | Individual
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Provider Name | ALFRED PALMERINO SR. RPH
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Gender | Male
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Dates
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Enumeration Date | 11/21/2019
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Last Update Date | 11/21/2019
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Provider Practice Location Address
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Address Line | 50 CENTRAL ST
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City | GEORGETOWN
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State | MA
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Zip | 01833-2407
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Country | US
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Telephone | 781-245-2543
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Fax |
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Provider Business Mailing Address
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Address Line | 42 EUSTIS AVE
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City | WAKEFIELD
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State | MA
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Zip | 01880-1547
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Country | US
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Telephone | 781-245-2543
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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 | PH12654
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License Number State | MA
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