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General NPI Number Information
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NPI Number | 1396157913
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Entity Type | Individual
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Provider Name | ERICA PEREZ D.O
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Gender | Female
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Dates
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Enumeration Date | 06/02/2014
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 2145 NOLL DR
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City | LANCASTER
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State | PA
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Zip | 17603-7600
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Country | US
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Telephone | 717-207-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 3141 CAPE HORN RD
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City | RED LION
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State | PA
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Zip | 17356-9071
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Country | US
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Telephone | 717-246-5180
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OT016114
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS018408
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License Number State | PA
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