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General NPI Number Information
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NPI Number | 1972109734
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Entity Type | Individual
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Provider Name | CHRISTOPHER SMALL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2020
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Last Update Date | 12/17/2020
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Provider Practice Location Address
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Address Line | 151 KNOLLCROFT RD
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City | LYONS
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State | NJ
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Zip | 07939-5001
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Country | US
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Telephone | 908-647-0180
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Fax |
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Provider Business Mailing Address
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Address Line | 111 OLD FARM RD
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City | WHITEHOUSE STATION
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State | NJ
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Zip | 08889-3560
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Country | US
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Telephone | 908-507-8860
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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 | 28RI03722100
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License Number State | NJ
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