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General NPI Number Information
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NPI Number | 1467730986
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Entity Type | Individual
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Provider Name | ERIC NORMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/01/2011
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 13001 SOUTHERN BLVD
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City | LOXAHATCHEE
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State | FL
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Zip | 33470-9203
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Country | US
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Telephone | 786-763-1242
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Fax |
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Provider Business Mailing Address
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Address Line | 3389 SHERIDAN ST # 203
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City | HOLLYWOOD
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State | FL
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Zip | 33021-3606
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Country | US
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Telephone | 786-763-1242
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | ME136733
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | 0101276409
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | ME.136733
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License Number State | FL
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