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General NPI Number Information
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NPI Number | 1467722710
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Entity Type | Individual
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Provider Name | ERON ERNEST JABER PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2012
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 2232 WALTERDALE TER
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City | LOUISVILLE
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State | KY
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Zip | 40205-2027
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Country | US
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Telephone | 502-409-2009
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Fax |
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Provider Business Mailing Address
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Address Line | 2232 WALTERDALE TER
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City | LOUISVILLE
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State | KY
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Zip | 40205-2027
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Country | US
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Telephone |
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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 | 13853
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03-2-28360
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP440663
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | S016337
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License Number State | AZ
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