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General NPI Number Information
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NPI Number | 1528472149
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Entity Type | Organization
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Legal Business Name | ERIC PATRUSKY DO PA
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Dates
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Enumeration Date | 06/12/2014
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3920 BEE RIDGE RD STE C
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-377-8687
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Fax | 941-378-3498
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Provider Business Mailing Address
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Address Line | 3920 BEE RIDGE RD STE C
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City | SARASOTA
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State | FL
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Zip | 34233-1207
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Country | US
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Telephone | 941-377-8687
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Fax | 941-378-3498
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Authorized Official
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Title or Position | OWNER
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Name | ERIC PATRUSKY
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Credential | DO
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Telephone | 941-377-8687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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