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General NPI Number Information
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NPI Number | 1629528914
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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 | 10/11/2016
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 5301 BROADWAY
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-2622
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Country | US
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Telephone | 201-520-9364
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Fax | 201-330-8204
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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 | 28RS00751300
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License Number State | NJ
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