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General NPI Number Information
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NPI Number | 1780618652
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Entity Type | Organization
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Legal Business Name | STOP AND SHOP SUPERMARKET CO LLC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 10/24/2011
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Provider Practice Location Address
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Address Line | 1282 SPRINGFIELD ST
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City | FEEDING HILLS
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State | MA
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Zip | 01030-2119
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Country | US
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Telephone | 413-789-2226
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Fax | 413-786-2422
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Provider Business Mailing Address
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Address Line | 1282 SPRINGFIELD ST
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City | FEEDING HILLS
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State | MA
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Zip | 01030-2119
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Country | US
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Telephone | 413-789-2226
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | BRAD DAYTON
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Credential |
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Telephone | 617-770-8782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 2299
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2299
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License Number State | MA
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