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General NPI Number Information
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NPI Number | 1396807996
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Entity Type | Individual
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Provider Name | CHRISTOPHER RAYMOND EMERSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 100 E 77TH ST DEPARTMENT OF PHARMACY
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City | NEW YORK
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State | NY
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Zip | 10075-1850
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Country | US
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Telephone | 212-434-3261
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Fax |
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Provider Business Mailing Address
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Address Line | 70 GREENE ST APT 602
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City | JERSEY CITY
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State | NJ
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Zip | 07302-7587
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Country | US
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Telephone | 248-980-3887
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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 | 5302034253
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License Number State | MI
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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 | 052363-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI03111400
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License Number State | NJ
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