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General NPI Number Information
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NPI Number | 1265963540
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Entity Type | Individual
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Provider Name | ERICA R HOLBROOK MD
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 773 S WALNUT ST
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City | MARYSVILLE
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State | OH
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Zip | 43040-1643
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Country | US
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Telephone | 937-578-4301
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Fax | 937-578-4079
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Provider Business Mailing Address
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Address Line | 500 LONDON AVE
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City | MARYSVILLE
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State | OH
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Zip | 43040-3570
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Country | US
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Telephone | 937-578-4301
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Fax | 937-578-4079
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35.142001
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License Number State | OH
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