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General NPI Number Information
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NPI Number | 1427455765
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Entity Type | Individual
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Provider Name | ERIN ANN CAREY PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/02/2014
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Last Update Date | 12/02/2014
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Provider Practice Location Address
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Address Line | 19075 NW TANASBOURNE DR SUITE #200
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City | HILLSBORO
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State | OR
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Zip | 97124-5860
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Country | US
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Telephone | 503-941-3808
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Fax |
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Provider Business Mailing Address
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Address Line | 8787 E MOUNTAIN VIEW RD UNIT 2071
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-1462
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Country | US
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Telephone | 520-275-1676
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA170618
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License Number State | OR
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