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General NPI Number Information
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NPI Number | 1760773857
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Entity Type | Individual
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Provider Name | GERARD P DUVAL RPH
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Gender | Male
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Dates
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Enumeration Date | 04/25/2011
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 1533 S MAIN ST
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City | FALL RIVER
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State | MA
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Zip | 02724-2605
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Country | US
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Telephone | 508-674-0255
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Fax | 508-676-1080
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Provider Business Mailing Address
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Address Line | 74 WINSLOW AVE
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City | SOMERSET
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State | MA
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Zip | 02726-2318
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Country | US
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Telephone | 508-675-3791
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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 | PH16984
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License Number State | MA
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