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General NPI Number Information
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NPI Number | 1295884401
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Entity Type | Individual
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Provider Name | ERICA JEAN AUERBACH RN, CPNP
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Gender | Female
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 1111 20TH ST NW
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City | WASHINGTON
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State | DC
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Zip | 20526-0001
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Country | US
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Telephone | 202-692-1447
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 ELSA AVE
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City | WALDORF
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State | MD
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Zip | 20603-4011
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Country | US
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Telephone | 240-346-1071
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 500032
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License Number State | TX
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