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General NPI Number Information
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NPI Number | 1316487523
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Entity Type | Individual
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Provider Name | ERIKA L MCINTYRE NP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 11/14/2023
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Provider Practice Location Address
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Address Line | 155 5TH ST NE
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City | BARBERTON
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State | OH
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Zip | 44203-3332
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Country | US
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Telephone | 330-375-4595
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Fax |
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Provider Business Mailing Address
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Address Line | 1077 GORGE BLVD
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City | AKRON
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State | OH
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Zip | 44310-2408
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Country | US
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Telephone | 234-312-5691
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 334442
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.020571
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License Number State | OH
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