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General NPI Number Information
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NPI Number | 1821135328
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Entity Type | Individual
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Provider Name | PETER J SPOSATO R.PH., BCNP
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 35 DEER RUN DR
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City | COLCHESTER
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State | CT
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Zip | 06415-1806
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Country | US
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Telephone | 860-328-5927
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Fax |
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Provider Business Mailing Address
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Address Line | 35 DEER RUN DR
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City | COLCHESTER
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State | CT
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Zip | 06415-1806
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Country | US
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Telephone | 860-328-5927
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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 | 1835N0905X
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Taxonomy Name | Nuclear Pharmacist
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License Number | 7949
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License Number State | CT
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