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General NPI Number Information
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NPI Number | 1164359865
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Entity Type | Individual
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Provider Name | ERIK KIEFER
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Gender | Male
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 1300 BAXTER ST STE 450
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City | CHARLOTTE
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State | NC
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Zip | 28204-3026
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Country | US
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Telephone | 704-625-4841
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Fax |
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Provider Business Mailing Address
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Address Line | 2085 CUTTER POINT DR APT 205
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City | CLOVER
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State | SC
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Zip | 29710-4630
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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