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General NPI Number Information
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NPI Number | 1609496421
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Entity Type | Individual
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Provider Name | ERICA THOMAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 04/22/2020
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Provider Practice Location Address
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Address Line | 800 COMMONS DR
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City | OXFORD
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State | PA
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Zip | 19363-1247
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Country | US
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Telephone | 484-702-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 125 BUTTERCUP DR
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City | OXFORD
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State | PA
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Zip | 19363-4033
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Country | US
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Telephone | 570-594-1614
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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 | 18768
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License Number State | MD
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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 | RP443103
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License Number State | PA
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