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General NPI Number Information
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NPI Number | 1598779365
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Entity Type | Individual
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Provider Name | ERIC TAWNEY R.PH.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 1065 NE 125TH ST STE 207
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5832
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Country | US
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Telephone | 863-470-3657
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Fax | 786-347-0321
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Provider Business Mailing Address
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Address Line | 1065 NE 125TH ST STE 207
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5832
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Country | US
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Telephone | 786-347-0365
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Fax | 786-347-0321
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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 | 03-2-18193
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License Number State | OH
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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 | 5302026406
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PS61714
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License Number State | FL
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