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General NPI Number Information
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NPI Number | 1386503332
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Entity Type | Individual
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Provider Name | ERINA RADER PA
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 1012 BELMONT AVE
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City | LA JUNTA
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State | CO
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Zip | 81050-2101
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Country | US
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Telephone | 719-383-5500
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Fax |
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Provider Business Mailing Address
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Address Line | 304 S CANAL ST
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City | MANZANOLA
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State | CO
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Zip | 81058-9620
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Country | US
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Telephone | 303-328-1949
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA.0009525
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License Number State | CO
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