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General NPI Number Information
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NPI Number | 1174568950
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Entity Type | Individual
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Provider Name | ERICA KRISTEN PAFFEL PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7438 MAIN ST W
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City | WEBSTER
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State | WI
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Zip | 54893-8206
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Country | US
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Telephone | 715-866-8644
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Fax | 715-866-7344
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Provider Business Mailing Address
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Address Line | 112 MUSTANG CT
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City | LINO LAKES
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State | MN
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Zip | 55014-9401
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Country | US
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Telephone | 651-784-6837
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Fax | 651-784-6838
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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 | 116834-9
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 13186-040
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License Number State | WI
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