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General NPI Number Information
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NPI Number | 1841744604
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Entity Type | Individual
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Provider Name | KERRY JOSEPH HORAN PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 08/10/2016
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 5 ROPE FERRY RD # 6143
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City | HANOVER
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State | NH
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Zip | 03755-1421
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Country | US
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Telephone | 603-646-9456
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Fax | 844-771-0140
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Provider Business Mailing Address
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Address Line | 5 ROPE FERRY RD # 6143
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City | HANOVER
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State | NH
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Zip | 03755-1421
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Country | US
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Telephone | 603-646-9456
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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 | 033.0120687
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License Number State | VT
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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 | 4235
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License Number State | NH
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