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General NPI Number Information
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NPI Number | 1841695814
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Entity Type | Organization
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Legal Business Name | DORCHESTER HOUSE MULTI-SERVICE
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Dates
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Enumeration Date | 11/03/2014
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 1353 DORCHESTER AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-2932
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Country | US
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Telephone | 617-740-2544
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Fax | 617-740-2540
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Provider Business Mailing Address
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Address Line | 1353 DORCHESTER AVE
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City | DORCHESTER
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State | MA
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Zip | 02122-2932
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Country | US
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Telephone | 617-740-2544
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Fax | 617-740-2540
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Authorized Official
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Title or Position | ASSOCIATE CHIEF PHARMACY OFFICER
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Name | SEBASTIAN HAMILTON
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Credential |
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Telephone | 617-414-5377
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | MA0054471
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License Number State | MA
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