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General NPI Number Information
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NPI Number | 1467370783
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Entity Type | Organization
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Legal Business Name | ERICA BALBUENA TAPIA DMD PLLC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 1025 WH SMITH BLVD STE 104
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City | GREENVILLE
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State | NC
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Zip | 27834-5278
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Country | US
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Telephone | 252-226-9991
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 WH SMITH BLVD
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City | GREENVILLE
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State | NC
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Zip | 27834-5199
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Country | US
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Telephone | 252-226-9991
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | ERICA BALBUENA TAPIA
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Credential | DMD
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Telephone | 252-227-3187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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