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General NPI Number Information
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NPI Number | 1699378745
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Entity Type | Individual
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Provider Name | ERIN YORK HORST PHYSICIAN ASSISTANT
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Gender | Female
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 11/20/2020
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Provider Practice Location Address
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Address Line | 3420 TAMIAMI TRL UNIT 2
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City | PORT CHARLOTTE
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State | FL
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Zip | 33952-8126
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Country | US
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Telephone | 941-629-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 2805 87TH PL N APT 108
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City | PINELLAS PARK
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State | FL
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Zip | 33782-6226
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Country | US
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Telephone | 336-469-2263
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9113648
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License Number State | FL
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