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General NPI Number Information
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NPI Number | 1811989981
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Entity Type | Individual
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Provider Name | CHRISTOPHER MCGOUGH PHARM.D CACP
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Gender | Male
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Dates
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Enumeration Date | 08/16/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1901 N MACARTHUR BLVD
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City | IRVING
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State | TX
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Zip | 75061-2220
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Country | US
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Telephone | 972-579-8348
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Fax | 972-579-3933
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Provider Business Mailing Address
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Address Line | 2425 CROSS TIMBERS TRL
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City | ARLINGTON
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State | TX
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Zip | 76006-4835
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Country | US
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Telephone | 817-652-0170
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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 | 36806
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License Number State | TX
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