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NPI 1528679305

NPI 1528679305 : ERIKO APRILIANDO NP : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1528679305
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKO APRILIANDO NP
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/13/2020
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    Last Update Date     |    12/15/2025
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Provider Practice Location Address
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    Address Line         |    5076 BISHOP ST 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48224-2143
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    Country              |    US
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    Telephone            |    616-214-0228
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5076 BISHOP ST 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48224-2143
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    Country              |    US
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    Telephone            |    616-214-0228
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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       |    4704313962
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    License Number State |    MI
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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       |    4704313962
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    4704313962
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    License Number State |    MI
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Taxonomy #4
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    4704313962
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    License Number State |    MI
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