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General NPI Number Information
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NPI Number | 1023839271
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Entity Type | Individual
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Provider Name | DR. CHRISTINA GANGI
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Gender | Female
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3695 POST RD
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City | SOUTHPORT
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State | CT
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Zip | 06890-3103
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Country | US
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Telephone | 203-262-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 4 NEUBIGS WAY
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City | NORTHFORD
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State | CT
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Zip | 06472-1500
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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 | 1835C0207X
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Taxonomy Name | Compounded Sterile Preparations Pharmacist
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License Number | PCT.0015221
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License Number State | CT
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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 | PCT.0015221
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License Number State | CT
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