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General NPI Number Information
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NPI Number | 1497458665
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Entity Type | Individual
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Provider Name | ERICA CREECH APRN
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Gender | Female
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 830 THOMAS MORE PKWY STE 202
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City | EDGEWOOD
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State | KY
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Zip | 41017-5103
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Country | US
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Telephone | 859-341-6281
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Fax | 859-341-4661
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Provider Business Mailing Address
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Address Line | 2123 AUBURN AVE STE 404
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-241-5630
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Fax | 513-241-7146
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1161341
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 4006496
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License Number State | KY
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