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General NPI Number Information
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NPI Number | 1174060941
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Entity Type | Individual
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Provider Name | ERIC LOPAPA
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Gender | Male
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Dates
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Enumeration Date | 01/31/2017
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Last Update Date | 01/31/2017
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Provider Practice Location Address
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Address Line | 3930 CRYSTAL LAKE DR APT 101
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City | POMPANO BEACH
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State | FL
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Zip | 33064-1218
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Country | US
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Telephone | 954-729-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 3930 CRYSTAL LAKE DR. #101
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064
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Country | US
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Telephone | 954-729-6810
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA 13050
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License Number State | FL
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