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General NPI Number Information
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NPI Number | 1538402441
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Entity Type | Individual
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Provider Name | ERIKA LEIGH PRUSS MD
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Gender | Female
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 901 E 2ND ST STE 201
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City | RENO
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State | NV
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Zip | 89502-1186
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Country | US
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Telephone | 775-982-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # MSM14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5437
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26713
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 26713
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License Number State | NV
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