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General NPI Number Information
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NPI Number | 1275751083
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Entity Type | Individual
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Provider Name | ERICA LYNN CHEESMAN RPH
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Gender | Female
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2301 BRISTOL RD
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City | BENSALEM
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State | PA
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Zip | 19020-6000
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Country | US
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Telephone | 215-741-9775
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Fax | 215-741-9777
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Provider Business Mailing Address
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Address Line | 5722 DUNBAR CT
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City | BENSALEM
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State | PA
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Zip | 19020-2217
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Country | US
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Telephone | 267-852-0262
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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 | RP045693L
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License Number State | PA
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