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General NPI Number Information
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NPI Number | 1306186135
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Entity Type | Individual
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Provider Name | ERIN SUZANNE SEVERSON-HOBSON RPH
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Gender | Female
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Dates
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Enumeration Date | 02/14/2013
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Last Update Date | 02/14/2013
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Provider Practice Location Address
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Address Line | 3013 NW STEWART PKWY
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City | ROSEBURG
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State | OR
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Zip | 97471-1612
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Country | US
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Telephone | 541-957-9236
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Fax |
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Provider Business Mailing Address
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Address Line | 612 N U ST
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City | WASHOUGAL
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State | WA
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Zip | 98671-8569
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Country | US
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Telephone | 360-606-5772
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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 | RPH0010106-P
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License Number State | OR
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