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General NPI Number Information
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NPI Number | 1679026835
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Entity Type | Individual
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Provider Name | MR. CHRISTOPHER CARPER
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Gender | Male
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Dates
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Enumeration Date | 07/24/2016
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Last Update Date | 07/24/2016
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Provider Practice Location Address
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Address Line | 225 WEST AVE
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City | NEW BOSTON
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State | OH
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Zip | 45662-4977
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Country | US
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Telephone | 740-456-4185
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 CANTRELL ST
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City | ASHLAND
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State | KY
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Zip | 41102-5611
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Country | US
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Telephone | 606-922-2791
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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 | 03135544
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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 | 018613
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License Number State | KY
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