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General NPI Number Information
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NPI Number | 1841570397
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Entity Type | Individual
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Provider Name | ANTHONY JAMES TRASK RPH
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Gender | Male
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 08/27/2011
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Provider Practice Location Address
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Address Line | 600 WARREN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-2808
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Country | US
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Telephone | 401-438-9501
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Fax | 401-438-9507
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Provider Business Mailing Address
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Address Line | 600 WARREN AVE
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-2808
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Country | US
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Telephone | 401-438-9501
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Fax | 401-438-9507
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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 | RPH03708
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License Number State | RI
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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 | PH22513
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS31909
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License Number State | FL
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