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General NPI Number Information
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NPI Number | 1407820277
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Entity Type | Individual
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Provider Name | CHARLES ERIC FOLKERS PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2006
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Last Update Date | 10/21/2009
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Provider Practice Location Address
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Address Line | 216 S TARRAGONA ST
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City | PENSACOLA
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State | FL
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Zip | 32502-6509
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Country | US
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Telephone | 850-469-1111
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Fax | 850-469-1111
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Provider Business Mailing Address
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Address Line | 5449 W SPENCER FIELD RD
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City | PACE
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State | FL
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Zip | 32571-9379
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Country | US
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Telephone | 850-994-7872
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Fax | 850-469-1111
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY 6882
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License Number State | FL
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