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NPI 1144472234

NPI 1144472234 : PATRICK F CORBETT PHARMD : NORWALK, CT

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General NPI Number Information
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    NPI Number           |    1144472234
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    Entity Type          |    Individual 
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    Provider Name        |    PATRICK F CORBETT PHARMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/21/2008
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    Last Update Date     |    06/14/2010
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Provider Practice Location Address
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    Address Line         |    24 STEVENS ST NORWALK HOSPITAL PHARMACY/SWC PHARMACY 2ND FLOOR
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06850-3852
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    Country              |    US
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    Telephone            |    203-852-2617
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    Fax                  |    203-852-2615
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Provider Business Mailing Address
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    Address Line         |    24 STEVENS ST NORWALK HOSPITAL PHARMACY/SWC PHARMACY 2ND FLOOR
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    City                 |    NORWALK
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    State                |    CT
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    Zip                  |    06850-3852
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    Country              |    US
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    Telephone            |    203-852-2617
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    Fax                  |    203-852-2615
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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        |    1835P0018X
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    Taxonomy Name        |    Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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    License Number       |    0010585
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    License Number State |    CT
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Taxonomy #2
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    Taxonomy Code        |    1835P1200X
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    Taxonomy Name        |    Pharmacotherapy Pharmacist
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    License Number       |    PCT.0010585
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    License Number State |    CT
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Taxonomy #3
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    Taxonomy Code        |    1835G0303X
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    Taxonomy Name        |    Geriatric Pharmacist
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    License Number       |    CT.0010585
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    License Number State |    CT
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