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General NPI Number Information
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NPI Number | 1023419744
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Entity Type | Individual
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Provider Name | ERIN REDDY
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Gender | Female
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Dates
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Enumeration Date | 09/12/2014
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Last Update Date | 03/29/2018
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Provider Practice Location Address
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Address Line | 18167 US HIGHWAY 19 N STE 650
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City | CLEARWATER
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State | FL
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Zip | 33764-6576
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Country | US
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Telephone | 727-507-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 170 COMMERCE WAY
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City | PORTSMOUTH
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State | NH
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Zip | 03801-3226
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Country | US
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Telephone | 603-812-8536
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 064841-23
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License Number State | NH
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