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General NPI Number Information
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NPI Number | 1831328160
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Entity Type | Individual
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Provider Name | ERIC R CORNELL PHARMD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2009
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Last Update Date | 08/22/2024
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Provider Practice Location Address
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Address Line | 300 E GROVER ST
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City | SHELBY
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State | NC
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Zip | 28150-3920
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Country | US
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Telephone | 704-482-4429
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W 6TH AVE
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City | GASTONIA
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State | NC
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Zip | 28052-4033
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 03335098
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PST.023343
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 37448
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202218417
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 19849
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License Number State | NC
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