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General NPI Number Information
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NPI Number | 1518210392
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Entity Type | Individual
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Provider Name | ERICA LEE BOLAND APRN
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Gender | Female
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 91 E MOUNTAIN RD
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City | WESTFIELD
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State | MA
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Zip | 01085-1801
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Country | US
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Telephone | 413-562-4131
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Fax |
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Provider Business Mailing Address
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Address Line | 91 E MOUNTAIN RD
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City | WESTFIELD
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State | MA
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Zip | 01085-1801
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Country | US
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Telephone | 413-784-9148
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 005177
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License Number State | CT
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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 | 005177
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License Number State | CT
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