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General NPI Number Information
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NPI Number | 1245189281
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Entity Type | Individual
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Provider Name | ERIK CALVIN PTA
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Gender | Male
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Dates
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Enumeration Date | 01/23/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 11810 W MARKET PL
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City | FULTON
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State | MD
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Zip | 20759-2703
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Country | US
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Telephone | 410-826-0178
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CORNWALL CT
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City | SYKESVILLE
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State | MD
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Zip | 21784-6183
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Country | US
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Telephone | 443-909-0792
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 6164
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License Number State | MD
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