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General NPI Number Information
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NPI Number | 1982014601
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Entity Type | Individual
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Provider Name | DORIS ELDRIDGE RPH
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Gender | Female
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Dates
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Enumeration Date | 05/02/2014
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Last Update Date | 05/02/2014
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Provider Practice Location Address
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Address Line | 2507 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1105
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Country | US
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Telephone | 765-939-4410
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Fax | 765-939-4465
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Provider Business Mailing Address
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Address Line | 2026 MINNEMAN RD
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City | RICHMOND
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State | IN
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Zip | 47374-9634
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Country | US
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Telephone | 765-935-4448
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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 | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 26018245A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 1835P1200X
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Taxonomy Name | Pharmacotherapy Pharmacist
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License Number | 03132390
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License Number State | OH
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