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General NPI Number Information
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NPI Number | 1558066209
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Entity Type | Individual
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Provider Name | ERIKA JOANNE MCLANE MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 3063 BATTLEFIELD PKWY
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City | FORT OGLETHORPE
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State | GA
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Zip | 30742-4003
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Country | US
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Telephone | 706-841-7274
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Fax | 706-841-0434
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Provider Business Mailing Address
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Address Line | 4976 ALPHA LN
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City | HIXSON
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State | TN
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Zip | 37343-5470
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Country | US
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Telephone | 423-497-5355
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Fax | 423-308-0281
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN289877
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License Number State | GA
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