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General NPI Number Information
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NPI Number | 1871643189
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Entity Type | Individual
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Provider Name | JERRY PETER ESKOLA RPH
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 36000 DARNALL LOOP
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City | FORT HOOD
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State | TX
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Zip | 76544-5095
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Country | US
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Telephone | 254-288-8830
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 COUNTY ROAD 208
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City | LAMPASAS
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State | TX
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Zip | 76550-9519
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Country | US
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Telephone | 512-556-5624
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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 | 29044
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License Number State | TX
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