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General NPI Number Information
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NPI Number | 1225387442
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Entity Type | Individual
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Provider Name | CHRISTINE CLAIRE CAROLINO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/04/2012
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 3710 SW US VETERANS HOSPITAL RD
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City | PORTLAND
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State | OR
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Zip | 97239-2964
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Country | US
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Telephone | 503-402-2946
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Fax |
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Provider Business Mailing Address
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Address Line | 6754 SW ASHDALE DR
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City | PORTLAND
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State | OR
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Zip | 97223-1347
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Country | US
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Telephone | 541-517-1906
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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 | RPH-0013284
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License Number State | OR
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Taxonomy #2
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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 | RPH-0013284
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License Number State | OR
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