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General NPI Number Information
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NPI Number | 1508219106
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Entity Type | Individual
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Provider Name | ERIKA DICKERSON NP
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Gender | Female
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Dates
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Enumeration Date | 07/19/2016
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 15 W 136TH ST 2ND FLOOR, KOUNTZ PAVILION
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City | NEW YORK
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State | NY
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Zip | 10037-2104
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Country | US
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Telephone | 212-939-8078
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Fax |
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Provider Business Mailing Address
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Address Line | 322 W 52ND ST # 1884
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City | NEW YORK
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State | NY
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Zip | 10019-6262
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Country | US
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Telephone |
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 406682-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F307826-1
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License Number State | NY
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