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General NPI Number Information
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NPI Number | 1467725523
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Entity Type | Individual
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Provider Name | ERICA DANIELLE HETRICK APRN
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Gender | Female
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 601 E ROLLINS STREET
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City | ORLANDO
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State | FL
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Zip | 32803-1468
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Country | US
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Telephone | 607-303-2528
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Fax | 407-895-8279
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Provider Business Mailing Address
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Address Line | 601 E ROLLINS ST
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City | ORLANDO
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State | FL
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Zip | 32803-1248
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Country | US
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Telephone | 407-303-2528
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Fax | 407-303-2760
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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 | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | ARNP9227417
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License Number State | FL
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