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General NPI Number Information
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NPI Number | 1033098595
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Entity Type | Individual
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Provider Name | ERICA D BURKS
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 8920 CARNEGIE AVE APT 812
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City | CLEVELAND
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State | OH
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Zip | 44106-2949
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Country | US
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Telephone | 216-375-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 4745 WALFORD RD APT 6
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City | CLEVELAND
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State | OH
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Zip | 44128-7262
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Country | US
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Telephone | 216-785-5845
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 400311021203
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License Number State | OH
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