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General NPI Number Information
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NPI Number | 1588143341
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Entity Type | Individual
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Provider Name | KATELYN GARGANO PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 08/12/2018
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 117 CHAPMAN ST STE 200
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City | PROVIDENCE
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State | RI
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Zip | 02905-5400
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Country | US
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Telephone | 401-444-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 76 POUND HILL RD
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City | NORTH SMITHFIELD
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State | RI
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Zip | 02896-7029
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Country | US
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Telephone | 401-952-0632
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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 | RPH05907
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License Number State | RI
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