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General NPI Number Information
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NPI Number | 1467507723
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Entity Type | Individual
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Provider Name | ERIKA MARIE NEALEY MD
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Gender | Female
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1304 FAWCETT AVE STE 100
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City | TACOMA
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State | WA
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Zip | 98402-1900
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Country | US
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Telephone | 245-376-1420
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Fax | 253-761-4201
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Provider Business Mailing Address
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Address Line | 1304 FAWCETT AVE STE 100
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City | TACOMA
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State | WA
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Zip | 98402-1900
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Country | US
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Telephone | 253-761-4200
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Fax | 253-383-3553
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD60384224
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD184063
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License Number State | OR
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