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General NPI Number Information
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NPI Number | 1700277175
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Entity Type | Individual
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Provider Name | RAYMOND CHRISTOPHER DURIGAN III PHARMD,BCPS
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Gender | Male
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 450 CLINTON ST THUNDERMIST HEALTH CENTER
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City | WOONSOCKET
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State | RI
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Zip | 02895-3207
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Country | US
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Telephone | 401-767-4000
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Fax | 401-235-6893
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Provider Business Mailing Address
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Address Line | 128 HOPE HILL TER
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City | CRANSTON
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State | RI
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Zip | 02921-2729
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Country | US
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Telephone | 401-225-4994
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | RP449025
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | RPH05636
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License Number State | RI
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