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General NPI Number Information
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NPI Number | 1912423435
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Entity Type | Individual
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Provider Name | ERIC SHANNON POLSTON PHARMD,DO
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Gender | Male
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 43 MEDICAL LANE
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City | WHITLEY CITY
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State | KY
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Zip | 42653
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Country | US
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Telephone | 606-376-1535
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Fax |
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Provider Business Mailing Address
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Address Line | 238 LILY CREEK RESORT RD
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City | JAMESTOWN
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State | KY
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Zip | 42629-7911
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Country | US
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Telephone | 270-343-4861
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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 | 11944
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License Number State | KY
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