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General NPI Number Information
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NPI Number | 1780101410
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Entity Type | Individual
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Provider Name | ERIC D PAROD PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 08/24/2017
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Provider Practice Location Address
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Address Line | 7800 US HIGHWAY 98 W
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City | MIRAMAR BEACH
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State | FL
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Zip | 32550-7228
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Country | US
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Telephone | 404-944-1004
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Fax |
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Provider Business Mailing Address
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Address Line | 1716 EVANS CT
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City | NICEVILLE
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State | FL
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Zip | 32578-4538
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Country | US
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Telephone | 404-944-1004
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 0202214270
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | PS56273
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License Number State | FL
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