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General NPI Number Information
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NPI Number | 1528732245
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Entity Type | Individual
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Provider Name | ERICA KEMP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 12/23/2021
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Provider Practice Location Address
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Address Line | 4561 STATE ROUTE 4
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City | DAYTON
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State | OH
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Zip | 45424-1764
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Country | US
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Telephone | 937-524-3926
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Fax |
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Provider Business Mailing Address
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Address Line | 2216 ERIN LN
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City | NASHVILLE
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State | TN
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Zip | 37221-2232
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Country | US
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Telephone | 937-524-3926
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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 |
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License Number State | OH
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