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General NPI Number Information
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NPI Number | 1376872705
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Entity Type | Individual
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Provider Name | KRISTI ANNA ERICKSON-ROBERTS PHD
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Gender | Female
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 09/20/2014
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Provider Practice Location Address
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Address Line | 405 KIPLING ST APT 6
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City | PALO ALTO
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State | CA
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Zip | 94301-1559
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Country | US
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Telephone | 650-208-1472
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Fax |
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Provider Business Mailing Address
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Address Line | 405 KIPLING ST APT 6
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City | PALO ALTO
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State | CA
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Zip | 94301-1559
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Country | US
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Telephone | 650-208-1472
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3651
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 408
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License Number State | MT
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