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General NPI Number Information
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NPI Number | 1447122007
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Entity Type | Individual
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Provider Name | ERIC MICHAEL GORSKI
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Gender | Male
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 1310 E 79TH AVE
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5768
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Country | US
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Telephone | 219-641-6402
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Fax | 219-641-6421
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Provider Business Mailing Address
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Address Line | 7050 E 107TH CT
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City | CROWN POINT
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State | IN
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Zip | 46307-7619
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Country | US
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Telephone | 219-641-6402
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Fax | 219-641-6421
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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 | 26031475A
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License Number State | IN
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