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General NPI Number Information
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NPI Number | 1770578916
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Entity Type | Individual
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Provider Name | ERIC M FOLKENS MD
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Gender | Male
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Dates
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Enumeration Date | 09/14/2005
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 7322 MANATEE AVE W # 108
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City | BRADENTON
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State | FL
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Zip | 34209-3441
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Country | US
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Telephone | 941-708-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 7322 MANATEE AVE W # 108
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City | BRADENTON
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State | FL
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Zip | 34209-3441
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Country | US
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Telephone |
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | ME91466
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME91466
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License Number State | FL
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