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General NPI Number Information
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NPI Number | 1508472937
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Entity Type | Individual
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Provider Name | ERICKA CHERISKA MD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2020
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 1951 SW 172ND AVE STE 200
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City | MIRAMAR
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State | FL
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Zip | 33029-5613
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Country | US
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Telephone | 508-821-8198
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Fax |
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Provider Business Mailing Address
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Address Line | 900 SW 125TH WAY APT R210
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City | PEMBROKE PINES
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State | FL
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Zip | 33027-6717
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001051-P.A.
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | HSE29967
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | HSE29967
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License Number State | FL
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