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General NPI Number Information
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NPI Number | 1205524501
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Entity Type | Individual
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Provider Name | ERIKA CORONA
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Gender | Female
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 10830 CRAIGHEAD DR
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City | HOUSTON
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State | TX
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Zip | 77025-5804
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Country | US
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Telephone | 832-536-7108
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 SANDS POINT DR APT 3503
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City | HOUSTON
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State | TX
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Zip | 77036-2786
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Country | US
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Telephone | 713-291-3527
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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 | RBT-23-256047
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License Number State | TX
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