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General NPI Number Information
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NPI Number | 1497035968
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Entity Type | Individual
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Provider Name | ANTHONY DAVID CARVITTI PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/27/2011
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Last Update Date | 03/30/2012
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Provider Practice Location Address
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Address Line | 512 GREEN BLVD
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City | AURORA
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State | IN
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Zip | 47001-1502
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Country | US
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Telephone | 812-926-3424
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Fax | 812-926-3451
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Provider Business Mailing Address
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Address Line | 7135 VAIL CT
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City | CINCINNATI
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State | OH
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Zip | 45247-4303
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Country | US
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Telephone | 513-236-9801
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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 | 03129695
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License Number State | OH
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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 | 26023944A
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License Number State | IN
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