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General NPI Number Information
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NPI Number | 1215242383
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Entity Type | Individual
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Provider Name | ERIKA A LOPEZ BERTIERY MD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2010
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Last Update Date | 12/04/2020
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Provider Practice Location Address
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Address Line | 7777 FOREST LN STE D400
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City | DALLAS
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State | TX
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Zip | 75230-6899
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Country | US
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Telephone | 972-566-6647
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Fax | 972-566-6496
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Provider Business Mailing Address
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Address Line | PO BOX 911230
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City | DALLAS
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State | TX
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Zip | 75391-1230
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Country | US
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Telephone | 972-997-8000
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Fax | 972-234-2987
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | P7151
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | P7151
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License Number State | TX
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