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General NPI Number Information
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NPI Number | 1609562065
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Entity Type | Individual
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Provider Name | ERYN NICOLE SOSA PHARMD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 18511 HIGHLANDER MEDICS ST
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City | FORT BLISS
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State | TX
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Zip | 79906-5327
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Country | US
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Telephone | 915-742-0671
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Fax |
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Provider Business Mailing Address
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Address Line | 5564 DENNIS CAVIN LN
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City | EL PASO
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State | TX
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Zip | 79934-3281
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Country | US
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Telephone | 915-274-5558
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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 | 50074
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License Number State | TX
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