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General NPI Number Information
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NPI Number | 1679641906
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Entity Type | Individual
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Provider Name | ERICKA J HUDSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1812 US HIGHWAY 19
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City | HOLIDAY
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State | FL
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Zip | 34691-5535
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Country | US
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Telephone | 727-943-0300
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Fax | 727-943-0339
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Provider Business Mailing Address
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Address Line | 1690 LUDINGTON AVE
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-7603
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Country | US
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Telephone | 813-417-1117
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Fax | 813-872-9191
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9196368
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License Number State | FL
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