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General NPI Number Information
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NPI Number | 1437904794
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Entity Type | Individual
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Provider Name | ERIK DALE ERWIN
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Gender | Male
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Dates
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Enumeration Date | 04/20/2024
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Last Update Date | 05/08/2024
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Provider Practice Location Address
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Address Line | 2220 BRYAN PL
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7126
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Country | US
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Telephone | 817-962-0409
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N 61ST ST
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City | WACO
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State | TX
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Zip | 76710-4358
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Country | US
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Telephone | 903-229-3730
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 93998
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License Number State | TX
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