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General NPI Number Information
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NPI Number | 1306217872
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Entity Type | Individual
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Provider Name | ERIN SANFORD FITZGERALD FNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 820 SE HIGHWAY 101 STE E2
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City | LINCOLN CITY
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State | OR
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Zip | 97367-2773
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Country | US
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Telephone | 971-465-9556
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Fax | 888-224-4514
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Provider Business Mailing Address
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Address Line | PO BOX 2792
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City | CORVALLIS
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State | OR
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Zip | 97339-2792
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Country | US
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Telephone | 971-465-9556
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Fax | 888-224-4514
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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 | 201507586NP-PP
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 201507586NP-PP
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License Number State | OR
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