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General NPI Number Information
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NPI Number | 1831060268
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Entity Type | Individual
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Provider Name | ELLEN DANCEL PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 20 PARK PLZ STE 821
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City | BOSTON
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State | MA
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Zip | 02116-4322
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Country | US
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Telephone | 857-350-9106
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Fax |
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Provider Business Mailing Address
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Address Line | 1115 TEMPLE RIDGE CT
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City | NASHVILLE
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State | TN
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Zip | 37221-4332
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Country | US
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Telephone | 857-998-2354
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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 | 0000045950
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License Number State | TN
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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 | PH26581
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License Number State | MA
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