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General NPI Number Information
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NPI Number | 1528331816
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Entity Type | Individual
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Provider Name | ERIN W PACIFIC DPT
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Gender | Female
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Dates
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Enumeration Date | 02/16/2012
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Last Update Date | 05/08/2017
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Provider Practice Location Address
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Address Line | 910 SAWMILL RD
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City | LAUREL
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State | MS
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Zip | 39440-3961
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Country | US
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Telephone | 601-342-5948
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Fax | 601-342-2048
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Provider Business Mailing Address
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Address Line | 910 SAWMILL RD
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City | LAUREL
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State | MS
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Zip | 39440-3961
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Country | US
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Telephone | 601-428-2004
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Fax | 601-428-8833
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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