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General NPI Number Information
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NPI Number | 1881093011
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Entity Type | Individual
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Provider Name | JASON MATHAI
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Gender | Male
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 35 COMPUTER DR
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City | HAVERHILL
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State | MA
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Zip | 01832-1236
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Country | US
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Telephone | 978-377-9004
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Fax |
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Provider Business Mailing Address
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Address Line | 8 MALVERN ST
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City | WALTHAM
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State | MA
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Zip | 02451-2112
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Country | US
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Telephone |
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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 | PH235438
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License Number State | MA
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