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General NPI Number Information
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NPI Number | 1245907591
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Entity Type | Individual
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Provider Name | ERICA HOMME FNP
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Gender | Female
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Dates
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Enumeration Date | 08/25/2021
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Last Update Date | 08/25/2021
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Provider Practice Location Address
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Address Line | 2240 N FOREST RD
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City | BUFFALO
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State | NY
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Zip | 14221-1357
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Country | US
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Telephone | 716-568-4456
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Fax | 716-929-8940
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Provider Business Mailing Address
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Address Line | 570 TIBURON LN
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City | EAST AMHERST
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State | NY
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Zip | 14051-2245
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Country | US
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Telephone | 716-969-6208
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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 | 348208
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License Number State | NY
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