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General NPI Number Information
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NPI Number | 1801385380
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Entity Type | Organization
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Legal Business Name | ENDEAR INC
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Dates
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Enumeration Date | 05/09/2018
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 625 MOUNT AUBURN ST STE 102
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4555
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Country | US
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Telephone | 781-698-5491
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Fax | 855-829-6228
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Provider Business Mailing Address
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Address Line | 625 MOUNT AUBURN ST STE 102
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City | CAMBRIDGE
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State | MA
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Zip | 02138-4555
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Country | US
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Telephone | 781-608-8128
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Fax | 855-829-6228
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Authorized Official
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Title or Position | PHARMACIST
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Name | JUFANG SHI
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Credential | PHARMD
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Telephone | 781-608-8128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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