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General NPI Number Information
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NPI Number | 1598618373
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Entity Type | Individual
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Provider Name | ERIC ANDERSON APRN
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Gender | Male
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Dates
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Enumeration Date | 02/19/2026
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Last Update Date | 02/19/2026
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Provider Practice Location Address
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Address Line | 11 MAPLE SHADE RD
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City | RIDGEFIELD
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State | CT
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Zip | 06877-3828
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Country | US
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Telephone | 917-687-4401
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Fax |
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Provider Business Mailing Address
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Address Line | 52 DANBURY RD STE 242
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City | RIDGEFIELD
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State | CT
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Zip | 06877-4019
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Country | US
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Telephone |
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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 | 12.016432
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License Number State | CT
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