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General NPI Number Information
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NPI Number | 1881814556
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Entity Type | Individual
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Provider Name | SUSAN PAMELA PERROTTI RPH
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 976 1/2-978 FARMINGTON AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107
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Country | US
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Telephone | 860-521-5844
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Fax | 860-521-5003
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Provider Business Mailing Address
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Address Line | 127 CAMBRIDGE DRIVE
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City | NEWINGTON
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State | CT
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Zip | 06111-5200
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Country | US
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Telephone | 860-666-3141
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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 | 4334
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License Number State | CT
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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 | 28RI01254600
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License Number State | NJ
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