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General NPI Number Information
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NPI Number | 1205113685
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOHN PRATT PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 11/13/2011
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Last Update Date | 11/13/2011
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Provider Practice Location Address
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Address Line | 358 E CASS ST
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City | JOLIET
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State | IL
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Zip | 60432-2835
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Country | US
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Telephone | 815-727-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 PROVIDENCE WAY
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City | JOLIET
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State | IL
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Zip | 60431-7594
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Country | US
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Telephone | 708-955-8085
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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 | 051-291688
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License Number State | IL
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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 | 17083
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License Number State | CO
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