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General NPI Number Information
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NPI Number | 1952364507
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Entity Type | Individual
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Provider Name | ERIC M FLICKINGER PAC
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Gender | Male
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Dates
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Enumeration Date | 04/06/2006
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 207 BLOOMING GROVE RD
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City | HANOVER
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State | PA
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Zip | 17331-7917
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Country | US
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Telephone | 717-632-5259
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Fax | 717-632-2422
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Provider Business Mailing Address
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Address Line | 3421 CONCORD RD
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City | YORK
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State | PA
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Zip | 17402-9001
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Country | US
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Telephone | 717-632-5259
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Fax | 717-632-2422
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA002937L
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License Number State | PA
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