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General NPI Number Information
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NPI Number | 1225548175
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Entity Type | Individual
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Provider Name | ERIN JUSTINE HEWITT FNP-C
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Gender | Female
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Dates
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Enumeration Date | 10/05/2017
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 5700 PLYMOUTH RD #D
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City | MINNETONKA
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State | MN
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Zip | 55305
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Country | US
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Telephone | 278-461-2963
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Fax |
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Provider Business Mailing Address
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Address Line | 18330 5TH AVE N
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City | PLYMOUTH
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State | MN
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Zip | 55447-3310
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Country | US
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Telephone | 763-639-0451
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95006029
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 95006029
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License Number State | CA
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