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General NPI Number Information
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NPI Number | 1417163130
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Entity Type | Individual
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Provider Name | ERICA KURC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 03/30/2010
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Provider Practice Location Address
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Address Line | 340 ROUTE 9
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City | BAYVILLE
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State | NJ
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Zip | 08721-1255
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Country | US
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Telephone | 732-237-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 123 BROOKFIELD DR
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City | JACKSON
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State | NJ
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Zip | 08527-3877
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Country | US
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Telephone | 732-276-7603
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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