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General NPI Number Information
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NPI Number | 1265013254
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Entity Type | Individual
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Provider Name | MONIQUE AIESHA ERSKINE MSN, CRNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/20/2021
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 9201 E MOUNTAIN VIEW RD STE 220
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5172
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Country | US
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Telephone | 877-564-3627
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 733
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City | FOLCROFT
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State | PA
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Zip | 19032-0733
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Country | US
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Telephone | 484-620-1710
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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 | SP023065
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License Number State | PA
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