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General NPI Number Information
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NPI Number | 1467015875
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Entity Type | Individual
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Provider Name | ERISHA KATHERIN TASHAKORI MD
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Gender | Female
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Dates
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Enumeration Date | 04/22/2019
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # S40
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City | CLEVELAND
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State | OH
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Zip | 44195-1501
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Country | US
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Telephone | 216-444-9580
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-6185
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | DR.0075453
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35.151000
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License Number State | OH
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