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General NPI Number Information
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NPI Number | 1194480814
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Entity Type | Individual
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Provider Name | ERIKA COLEMAN STEVENS
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 10/19/2024
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Provider Practice Location Address
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Address Line | 1615 WENONAH AVE
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City | PEARISBURG
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State | VA
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Zip | 24134-1839
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Country | US
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Telephone | 540-921-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 WENONAH AVE
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City | PEARISBURG
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State | VA
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Zip | 24134-1839
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Country | US
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Telephone | 540-921-3000
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202220038
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License Number State | VA
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