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General NPI Number Information
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NPI Number | 1124698626
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Entity Type | Individual
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Provider Name | CHRISTOPHER VENTOLO
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Gender | Male
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 57 BLUFFS CT
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City | HAMBURG
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State | NJ
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Zip | 07419-1525
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Country | US
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Telephone | 973-764-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CVS DR BOX 1075
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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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 | 28RI01988300
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License Number State | NJ
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