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NPI 1487273066

NPI 1487273066 : ERIK LEE ANDERSON PHD, DO : FORT COLLINS, CO

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General NPI Number Information
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    NPI Number           |    1487273066
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    Entity Type          |    Individual 
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    Provider Name        |    ERIK LEE ANDERSON PHD, DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/13/2020
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    Last Update Date     |    07/16/2025
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Provider Practice Location Address
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    Address Line         |    2121 E HARMONY RD UNIT 290 
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    City                 |    FORT COLLINS
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    State                |    CO
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    Zip                  |    80528-3402
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    Country              |    US
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    Telephone            |    970-221-2370
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    Fax                  |    970-221-9654
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Provider Business Mailing Address
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    Address Line         |    PO BOX 603725 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28260-3725
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    Country              |    US
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    Telephone            |    828-575-2625
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    Fax                  |    828-350-2174
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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        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    TL8771
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    License Number State |    WY
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Taxonomy #2
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    Taxonomy Code        |    207K00000X
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    Taxonomy Name        |    Allergy & Immunology Physician
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    License Number       |    DR.0075566
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    License Number State |    CO
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