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General NPI Number Information
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NPI Number | 1619431426
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Entity Type | Individual
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Provider Name | ERICA SERGENT DNP, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 1100 N 4TH ST
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City | LEAVENWORTH
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State | KS
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Zip | 66048-1572
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Country | US
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Telephone | 913-297-9945
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Fax |
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Provider Business Mailing Address
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Address Line | 1432 RACE ST UNIT 204
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City | CINCINNATI
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State | OH
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Zip | 45202-1245
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Country | US
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Telephone | 573-355-3557
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 53-81170-102
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024177205
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License Number State | VA
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