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General NPI Number Information
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NPI Number | 1437583903
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Entity Type | Individual
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Provider Name | ERIC JOSEF DICKERSON DC
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Gender | Male
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Dates
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Enumeration Date | 09/02/2013
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 352 PROVIDENCE MINE RD
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City | NEVADA CITY
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State | CA
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Zip | 95959-2977
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Country | US
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Telephone | 530-955-0065
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Fax | 530-200-8865
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Provider Business Mailing Address
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Address Line | 352 PROVIDENCE MINE RD
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City | NEVADA CITY
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State | CA
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Zip | 95959-2977
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Country | US
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Telephone | 530-955-0065
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Fax | 530-200-8865
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038012492
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 111NI0013X
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Taxonomy Name | Independent Medical Examiner Chiropractor
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License Number | 33998
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 33998
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License Number State | CA
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