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Individual
ERIC EDGERTON
Active
Individual
ERIC EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH 10333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12323896
CAQH
FL
01
—
220HD
BCBS
FL
Enumeration date
09/14/2011
Last updated
11/15/2013
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