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General NPI Number Information
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NPI Number | 1962891713
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Entity Type | Individual
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Provider Name | PAUL N EGWIM PHARMD
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Gender | Male
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 2030 MAIN ST
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City | FRANKLIN
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State | LA
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Zip | 70538-3118
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Country | US
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Telephone | 337-828-2635
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Fax |
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Provider Business Mailing Address
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Address Line | 2118 W OLD SPANISH TRL APT S4
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City | NEW IBERIA
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State | LA
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Zip | 70560-3450
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Country | US
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Telephone | 617-818-1767
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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 | 020868
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License Number State | LA
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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 | PH235558
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License Number State | MA
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