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NPI 1013220110

NPI 1013220110 : ERIKA M NIGAM RPA-C : BALTIMORE, MD

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General NPI Number Information
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    NPI Number           |    1013220110
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA M NIGAM RPA-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/16/2010
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    Last Update Date     |    10/15/2021
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Provider Practice Location Address
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    Address Line         |    2435 W. BELVEDERE AVENUE HOFFBERGER BUILDING, SUITE 32
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21215
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    Country              |    US
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    Telephone            |    410-601-0900
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    Fax                  |    410-601-0901
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Provider Business Mailing Address
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    Address Line         |    PO BOX 602478 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260-2478
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    Country              |    US
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    Telephone            |    704-403-6100
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    Fax                  |    704-403-6131
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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        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    014066
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363AS0400X
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    Taxonomy Name        |    Surgical Physician Assistant
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    License Number       |    0010-04220
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    License Number State |    NC
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