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General NPI Number Information
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NPI Number | 1861066672
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Entity Type | Individual
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Provider Name | ERIN MATTHEWS RPH
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 05/17/2021
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Provider Practice Location Address
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Address Line | 158 MAIN ST
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City | NORTH READING
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State | MA
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Zip | 01864-3116
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Country | US
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Telephone | 978-276-1380
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Fax |
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Provider Business Mailing Address
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Address Line | 75 STATION LNDG UNIT 402
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City | MEDFORD
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State | MA
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Zip | 02155-5241
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Country | US
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Telephone | 617-365-8198
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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 | PH239860
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License Number State | MA
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