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General NPI Number Information
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NPI Number | 1235677881
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Entity Type | Individual
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Provider Name | ERIN VIERRA FNP-C, PMHNP- BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2017
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Last Update Date | 12/30/2021
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Provider Practice Location Address
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Address Line | 8875 AERO DR
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City | SAN DIEGO
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State | CA
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Zip | 92123-2251
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Country | US
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Telephone | 619-400-5170
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Fax |
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Provider Business Mailing Address
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Address Line | 8904 SANDMARK AVE
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City | SAN DIEGO
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State | CA
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Zip | 92123-3918
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 95094094
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95006057
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License Number State | CA
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