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General NPI Number Information
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NPI Number | 1033185087
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Entity Type | Individual
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Provider Name | ERIKA JAYNE PEARL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 06/18/2020
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Provider Practice Location Address
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Address Line | 24 STEVENS ST NORWALK HOSPITAL DEPARTMENT OF SURGERY
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City | NORWALK
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State | CT
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Zip | 06850-3852
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Country | US
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Telephone | 203-852-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SUNNY RIDGE RD
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City | EASTON
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State | CT
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Zip | 06612-1252
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Country | US
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Telephone | 203-820-4166
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA9103479
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License Number State | FL
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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 | 000984
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License Number State | CT
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