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General NPI Number Information
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NPI Number | 1811202906
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Entity Type | Organization
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Legal Business Name | HARBOR HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 04/19/2017
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Provider Practice Location Address
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Address Line | 398 NEPONSET AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-3134
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Country | US
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Telephone | 617-533-2290
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Fax | 617-533-2291
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Provider Business Mailing Address
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Address Line | 398 NEPONSET AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-3134
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Country | US
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Telephone | 617-533-2290
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Fax | 617-533-2291
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Authorized Official
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Title or Position | DIRECTOR OF PHARMACY
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Name | VICTOR FOURNIER
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Credential |
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Telephone | 617-533-2280
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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 #4
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | DS89736
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License Number State | MA
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