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General NPI Number Information
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NPI Number | 1942593041
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Entity Type | Individual
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Provider Name | WENDY ELIZABETH MIKOLINSKI PHARMD
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Gender | Female
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Dates
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Enumeration Date | 05/23/2011
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Last Update Date | 09/10/2013
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Provider Practice Location Address
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Address Line | 24 HARTFORD RD STE 11
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City | SALEM
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State | CT
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Zip | 06420-3839
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Country | US
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Telephone | 860-949-8624
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Fax |
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Provider Business Mailing Address
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Address Line | 500 WEST RD
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City | SALEM
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State | CT
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Zip | 06420-3531
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Country | US
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Telephone | 860-885-1492
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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 | PCT.0009536
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License Number State | CT
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