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General NPI Number Information
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NPI Number | 1003001678
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Entity Type | Individual
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Provider Name | REBECCA EIRICH NP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 188 FRIES MILL RD SUITE A-2
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City | TURNERSVILLE
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State | NJ
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Zip | 08012-2015
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Country | US
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Telephone | 856-875-6895
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Fax | 856-262-1635
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | VOORHEES
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State | NJ
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Zip | 08043-0536
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Country | US
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Telephone | 856-669-6050
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Fax | 856-651-0794
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26NJ00124100
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License Number State | NJ
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