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General NPI Number Information
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NPI Number | 1467443440
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Entity Type | Individual
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Provider Name | ERIC RICHARDS RPH
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 1380 LEXINGTON AVE
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City | MANSFIELD
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State | OH
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Zip | 44907-2616
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Country | US
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Telephone | 419-756-2609
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Fax |
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Provider Business Mailing Address
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Address Line | 11808 CANAAN CENTER RD
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City | CRESTON
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State | OH
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Zip | 44217-9767
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Country | US
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Telephone | 330-435-6417
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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 | 03221364
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License Number State | OH
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