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General NPI Number Information
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NPI Number | 1245826965
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Entity Type | Individual
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Provider Name | ERICKA KIMBERLY MCCASKILL PHLEBOTOMIST
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Gender | Female
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 18332 TORRENCE AVE APT 1E
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City | LANSING
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State | IL
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Zip | 60438-2739
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Country | US
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Telephone | 708-351-1908
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Fax | 708-206-2800
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Provider Business Mailing Address
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Address Line | 18332 TORRENCE AVE APT 1E
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City | LANSING
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State | IL
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Zip | 60438-2739
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Country | US
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Telephone | 708-351-1908
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Fax | 708-206-2800
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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 | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number | 713705720
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License Number State | IL
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