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General NPI Number Information
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NPI Number | 1427423250
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Entity Type | Individual
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Provider Name | ERICA ANN HRUBY PHARM.D.
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Gender | Female
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 12/04/2015
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Provider Practice Location Address
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Address Line | 319 W MAIN ST
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City | ADA
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State | MN
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Zip | 56510-1251
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Country | US
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Telephone | 218-784-2434
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Fax | 218-784-2471
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Provider Business Mailing Address
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Address Line | 319 W MAIN ST
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City | ADA
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State | MN
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Zip | 56510-1251
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Country | US
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Telephone | 218-784-2434
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Fax | 218-784-2471
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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 | 121910
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License Number State | MN
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