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General NPI Number Information
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NPI Number | 1710574694
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Entity Type | Individual
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Provider Name | CHRISTOPHER ALAN IVANOSKI PHARMD, RPH
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Gender | Male
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 1 CVS DR
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City | WOONSOCKET
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State | RI
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Zip | 02895-6146
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Country | US
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Telephone | 401-770-5606
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Fax | 401-216-3770
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Provider Business Mailing Address
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Address Line | 20 OLD CHIMNEY RD
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City | BARRINGTON
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State | RI
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Zip | 02806-3243
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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 | RPH05435
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License Number State | RI
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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 | PCT.0013260
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH-3989
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PHP232600
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License Number State | MA
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