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General NPI Number Information
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NPI Number | 1194033415
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Entity Type | Individual
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Provider Name | ERIKA M KAHEAKU-ENHADA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 2450 CRAVEN ST BLDG 3300
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City | SAN DIEGO
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State | CA
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Zip | 92136-5599
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Country | US
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Telephone | 858-556-8061
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Fax |
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Provider Business Mailing Address
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Address Line | 3D SUSTAINMENT GROUP EXPERIMENTAL OPC 558 BOX 52
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City | FPO
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State | AP
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Zip | 96375
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Country | US
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Telephone | 315-637-1564
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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