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General NPI Number Information
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NPI Number | 1528874112
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Entity Type | Individual
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Provider Name | ERICA CASPER BS, RDH
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Gender | Female
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 114 VISION PARK BLVD STE 200
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City | SHENANDOAH
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State | TX
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Zip | 77384-3008
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Country | US
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Telephone | 936-321-1477
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Fax |
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Provider Business Mailing Address
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Address Line | 12260 EMERALD MIST LN
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City | CONROE
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State | TX
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Zip | 77304-1965
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Country | US
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Telephone | 715-297-6937
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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