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General NPI Number Information
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NPI Number | 1144506304
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Entity Type | Individual
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Provider Name | ERICKA C BAXTER PHARM D
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Gender | Female
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Dates
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Enumeration Date | 11/01/2011
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Last Update Date | 11/01/2011
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Provider Practice Location Address
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Address Line | 5000 BRANDT PIKE
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424-6108
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Country | US
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Telephone | 937-236-0495
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Fax | 937-236-1398
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Provider Business Mailing Address
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Address Line | 2563 PAYDON RANDOFF RD
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City | BEAVERCREEK TOWNSHIP
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State | OH
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Zip | 45434-4238
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Country | US
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Telephone | 937-429-3251
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Fax | 937-429-3251
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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 | 03124330
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License Number State | OH
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