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General NPI Number Information
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NPI Number | 1306867817
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Entity Type | Individual
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Provider Name | JUDITH M ERICKSON PHD, CNS, BC
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Gender | Female
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 239 N BROADWAY STE 6
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City | SLEEPY HOLLOW
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State | NY
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Zip | 10591-2654
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Country | US
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Telephone | 149-806-3267
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Fax |
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Provider Business Mailing Address
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Address Line | 110 MCKEEL AVE
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City | TARRYTOWN
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State | NY
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Zip | 10591-3426
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Country | US
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Telephone | 914-806-3267
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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 | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 212563-1
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License Number State | NY
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