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General NPI Number Information
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NPI Number | 1265674782
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Entity Type | Individual
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Provider Name | ERICA LYNN BOVE MD
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Gender | Female
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 111 COLCHESTER AVE
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City | BURLINGTON
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State | VT
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Zip | 05401-1473
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Country | US
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Telephone | 802-847-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 399 ALBANY SHAKER RD
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City | LOUDONVILLE
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State | NY
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Zip | 12211-1961
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Country | US
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Telephone | 518-434-9759
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Fax | 518-436-9822
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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 | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 262651
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 042-0016540
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301102133
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 4301102133
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License Number State | MI
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