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General NPI Number Information
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NPI Number | 1811273808
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Entity Type | Individual
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Provider Name | CHRISTOPHER JOSEPH PAPA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 10/23/2011
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Last Update Date | 10/23/2011
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Provider Practice Location Address
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Address Line | 2900 MAIN ST
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City | GLASTONBURY
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State | CT
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Zip | 06033-1027
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Country | US
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Telephone | 908-672-2404
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Fax |
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Provider Business Mailing Address
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Address Line | 3122 TOWN RDG
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City | MIDDLETOWN
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State | CT
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Zip | 06457-1635
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Country | US
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Telephone | 908-672-2404
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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 | PCT.0012014
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License Number State | CT
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