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General NPI Number Information
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NPI Number | 1346419165
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Entity Type | Individual
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Provider Name | ERIC CHRISTOPHER SPAHN PHARM. D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 1100 N COLLEGE AVE
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-1944
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Country | US
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Telephone | 479-443-4301
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Fax |
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Provider Business Mailing Address
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Address Line | 13075 TALL OAKS CT
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City | SPRINGDALE
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State | AR
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Zip | 72762-9343
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Country | US
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Telephone | 479-248-7931
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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 | PD10577
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License Number State | AR
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