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General NPI Number Information
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NPI Number | 1760191514
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Entity Type | Individual
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Provider Name | ERIC ESTRADA PHARMD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 2001 E 4TH ST STE 112
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City | SANTA ANA
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State | CA
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Zip | 92705-3916
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Country | US
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Telephone | 714-541-3900
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Fax | 714-541-3901
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Provider Business Mailing Address
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Address Line | 14129 TEDFORD DR
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City | WHITTIER
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State | CA
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Zip | 90604-2720
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Country | US
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Telephone | 562-447-8727
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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 | 87291
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License Number State | CA
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