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General NPI Number Information
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NPI Number | 1801372032
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Entity Type | Individual
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Provider Name | THOMAS SYPHER RPH
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/11/2018
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Provider Practice Location Address
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Address Line | 24 WALTON DR
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City | BREWER
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State | ME
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Zip | 04412-1001
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Country | US
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Telephone | 207-989-6174
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Fax | 207-989-6717
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Provider Business Mailing Address
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Address Line | 16 COLLEGE HTS
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City | ORONO
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State | ME
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Zip | 04473-4233
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Country | US
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Telephone | 207-866-3813
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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 | 0202009164
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License Number State | VA
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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 | PR4489
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License Number State | ME
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