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General NPI Number Information
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NPI Number | 1417144718
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Entity Type | Individual
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Provider Name | ERICA D JOHNSON CARDER O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 121 E MICHIGAN AVE
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City | SALINE
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State | MI
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Zip | 48176-1552
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Country | US
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Telephone | 734-429-9454
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Fax | 734-293-0910
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Provider Business Mailing Address
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Address Line | 121 E MICHIGAN AVE
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City | SALINE
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State | MI
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Zip | 48176-1552
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Country | US
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Telephone | 734-429-9454
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Fax | 734-293-0910
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 13410TPA
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 4901004753
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 4901004753
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901004753
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License Number State | MI
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