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General NPI Number Information
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NPI Number | 1306148598
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Entity Type | Individual
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Provider Name | TERRY ERICKSON D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 5612 N FRESNO ST STE 112
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City | FRESNO
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State | CA
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Zip | 93710-6182
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Country | US
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Telephone | 612-460-8855
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Fax |
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Provider Business Mailing Address
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Address Line | 7726 N 1ST ST STE 180
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City | FRESNO
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State | CA
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Zip | 93720-0989
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Country | US
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Telephone | 612-460-8855
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 19443
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License Number State | CA
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