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General NPI Number Information
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NPI Number | 1417460601
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH 132, LLC
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Dates
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Enumeration Date | 11/09/2017
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 220 PASSAIC ST SUITE 125-A
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City | PASSAIC
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State | NJ
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Zip | 07055-6400
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Country | US
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Telephone | 862-295-3875
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Fax | 973-458-8033
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Provider Business Mailing Address
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Address Line | 13651 DUBLIN CT
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City | STAFFORD
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State | TX
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Zip | 77477-4317
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Country | US
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Telephone | 281-749-4000
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Fax | 614-652-0326
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Authorized Official
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Title or Position | VICE PRESIDENT, MANAGED SERVICES
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Name | MICHAEL BROWN
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Credential |
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Telephone | 281-749-4764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 28RS00758600
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License Number State | NJ
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