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General NPI Number Information
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NPI Number | 1871926675
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Entity Type | Individual
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Provider Name | CHRISTOPHER JAMES BOOTH PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 08/15/2013
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Last Update Date | 09/15/2014
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Provider Practice Location Address
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Address Line | 215 35TH ST SE
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City | CHARLESTON
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State | WV
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Zip | 25304-1318
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Country | US
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Telephone | 304-343-8621
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Fax | 304-343-1015
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Provider Business Mailing Address
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Address Line | SCHOOL OF PHARMACY COON EDUCATION BUILDING MARSHALL UNIVERSITY, ONE JOHN MARSHALL DRIVE
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City | HUNTINGTON
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State | WV
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Zip | 25755-0001
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Country | US
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Telephone | 304-696-7305
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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 | RP0008178
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License Number State | WV
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