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General NPI Number Information
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NPI Number | 1972702553
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Entity Type | Individual
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Provider Name | STEPHEN M DOLLEY R.PH., BCPP
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Gender | Male
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Dates
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Enumeration Date | 07/13/2007
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | WESTBOROUGH STATE HOSPITAL DEPARTMENT OF PHARMACY 288 LYMAN ST.
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City | WESTBOROUGH
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State | MA
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Zip | 01581
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Country | US
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Telephone | 508-616-2867
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Fax | 508-616-2863
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Provider Business Mailing Address
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Address Line | 132 SUNRISE RD
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City | WESTWOOD
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State | MA
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Zip | 02090-3314
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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 | 1835P1300X
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Taxonomy Name | Psychiatric Pharmacist
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License Number | 20368
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License Number State | MA
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