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General NPI Number Information
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NPI Number | 1508313479
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Entity Type | Individual
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Provider Name | DOUGLAS ERICKSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 1601 OLD GREENSBORO RD
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City | KERNERSVILLE
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State | NC
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Zip | 27284-6855
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Country | US
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Telephone | 844-871-4773
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Fax | 844-871-4776
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Provider Business Mailing Address
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Address Line | 1601 OLD GREENSBORO RD
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City | KERNERSVILLE
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State | NC
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Zip | 27284-6855
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Country | US
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Telephone | 844-871-4773
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Fax | 844-871-4776
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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 | 15150
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License Number State | NC
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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 | RP449445
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License Number State | PA
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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 | 39037
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License Number State | TN
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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 | 9856
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS30438
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 14842
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License Number State | NE
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Taxonomy #7
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 202208924
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License Number State | VA
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Taxonomy #8
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP0009855
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License Number State | WV
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