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NPI 1760068431

NPI 1760068431 : ERICA LYN WRING PHARMD, BCGP : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1760068431
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA LYN WRING PHARMD, BCGP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/22/2021
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    Last Update Date     |    03/22/2021
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Provider Practice Location Address
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    Address Line         |    9900 WESTPOINT DR STE 100 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46256-3338
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    Country              |    US
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    Telephone            |    317-841-0388
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15562 W 275 N 
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    City                 |    DUGGER
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    State                |    IN
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    Zip                  |    47848-7007
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    Country              |    US
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    Telephone            |    317-519-3364
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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        |    1835G0303X
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    Taxonomy Name        |    Geriatric Pharmacist
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    License Number       |    9102673
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    License Number State |    IN
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