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General NPI Number Information
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NPI Number | 1851103642
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Entity Type | Individual
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Provider Name | CHRISTOPHER ROLDAN CARDACE PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 271 GROVE AVE STE A
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City | VERONA
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State | NJ
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Zip | 07044-1731
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Country | US
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Telephone | 973-239-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 405 MAIN ST APT 118
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City | LITTLE FALLS
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State | NJ
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Zip | 07424-1273
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Country | US
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Telephone | 973-647-5355
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 28RI04385200
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License Number State | NJ
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