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General NPI Number Information
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NPI Number | 1831472687
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Entity Type | Individual
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Provider Name | THOMAS ROBERT MARINO RPH
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Gender | Male
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Dates
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Enumeration Date | 09/27/2011
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Last Update Date | 09/27/2011
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Provider Practice Location Address
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Address Line | 951 PROVIDENCE HWY
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City | NORWOOD
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State | MA
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Zip | 02062
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Country | US
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Telephone | 781-762-1561
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Fax |
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Provider Business Mailing Address
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Address Line | 4 CHASE LN
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City | FOXBOROUGH
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State | MA
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Zip | 02035-1064
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Country | US
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Telephone | 508-698-0743
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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 | PH20942
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License Number State | MA
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