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General NPI Number Information
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NPI Number | 1497267074
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Entity Type | Individual
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Provider Name | CHRISTINA ANDROS PHARMD, MBA
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Gender | Female
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 12695 W NATIONAL AVE
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City | NEW BERLIN
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State | WI
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Zip | 53151-4057
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Country | US
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Telephone | 413-233-6038
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Fax |
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Provider Business Mailing Address
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Address Line | 9999 W NORTH AVE APT 217
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City | WAUWATOSA
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State | WI
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Zip | 53226-2518
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Country | US
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Telephone |
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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 | 18905
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License Number State | WI
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