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General NPI Number Information
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NPI Number | 1952519951
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Entity Type | Individual
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Provider Name | TERI A BOINSKE RPH
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1327 MAIN ST
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City | SANFORD
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State | ME
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Zip | 04073-3657
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Country | US
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Telephone | 207-490-2069
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Fax | 207-490-2096
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Provider Business Mailing Address
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Address Line | 19 BLEAR DR
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City | EAST WATERBORO
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State | ME
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Zip | 04030-5433
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Country | US
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Telephone | 207-608-3077
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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 | PR 5323
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License Number State | ME
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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 | CT 9088
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | R1966
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License Number State | NH
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