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General NPI Number Information
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NPI Number | 1336181361
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Entity Type | Individual
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Provider Name | FRANK A ERICKSON MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 08/12/2009
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Provider Practice Location Address
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Address Line | 109 NE ELLIS AVE
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City | PENDLETON
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State | OR
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Zip | 97801-1635
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Country | US
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Telephone | 541-278-9554
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Fax | 541-278-9549
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Provider Business Mailing Address
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Address Line | 109 NE ELLIS AVE
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City | PENDLETON
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State | OR
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Zip | 97801-1635
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Country | US
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Telephone | 541-278-9554
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Fax | 541-278-9549
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2002002718
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 39802
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD17956
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License Number State | OR
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