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General NPI Number Information
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NPI Number | 1730390964
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Entity Type | Individual
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Provider Name | ERIC JAMES HOMA DC
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Gender | Male
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Dates
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Enumeration Date | 05/28/2007
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Last Update Date | 01/16/2020
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Provider Practice Location Address
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Address Line | 200 E ARCH ST SUITE 102
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City | POTTSVILLE
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State | PA
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Zip | 17901-2982
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Country | US
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Telephone | 570-622-0809
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Fax | 570-628-5080
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Provider Business Mailing Address
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Address Line | 200 E ARCH ST SUITE 102
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City | POTTSVILLE
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State | PA
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Zip | 17901-2982
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Country | US
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Telephone | 570-622-0809
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Fax | 570-628-5080
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | BO1222
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 13963
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC010648
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License Number State | PA
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