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General NPI Number Information
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NPI Number | 1972955854
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Entity Type | Individual
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Provider Name | BRADLEY CHAMBERLAIN
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Gender | Male
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 07/05/2016
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Provider Practice Location Address
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Address Line | 26 CALEF HWY
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City | EPPING
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State | NH
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Zip | 03042-2203
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Country | US
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Telephone | 603-679-2419
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Fax |
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Provider Business Mailing Address
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Address Line | 20A MANCHESTER ST
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City | NASHUA
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State | NH
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Zip | 03064-2110
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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 | 4032
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License Number State | NH
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