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General NPI Number Information
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NPI Number | 1942584701
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Entity Type | Individual
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Provider Name | ANTHONY S MARTINCHICK PHARM D.
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Gender | Male
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 02/23/2019
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Provider Practice Location Address
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Address Line | 11 OSGOOD ST
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City | WINDHAM
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State | NH
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Zip | 03087-2371
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Country | US
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Telephone | 970-692-9710
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Fax |
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Provider Business Mailing Address
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Address Line | 20 CARLISLE LN
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City | PELHAM
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State | NH
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Zip | 03076-2430
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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 | R1776
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License Number State | NH
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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 | 16304
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License Number State | CO
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