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General NPI Number Information
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NPI Number | 1417239989
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Entity Type | Individual
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Provider Name | CHRISTOPHER PATRICK RAGAN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2011
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 515 W MARKET ST
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City | LOUISVILLE
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State | KY
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Zip | 40202-3388
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Country | US
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Telephone | 502-476-8119
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Fax | 502-508-7997
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Provider Business Mailing Address
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Address Line | 3007 WHITEWAY AVE
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City | LOUISVILLE
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State | KY
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Zip | 40205-2931
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Country | US
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Telephone | 502-714-9769
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Fax | 502-508-7997
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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 | 012937
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License Number State | KY
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