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General NPI Number Information
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NPI Number | 1700607603
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Entity Type | Individual
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Provider Name | ERICA OZIER APRN
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 101 COLES CENTRE DR # 100
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City | MATTOON
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State | IL
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Zip | 61938-9314
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Country | US
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Telephone | 217-234-5110
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Fax | 217-235-5330
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Provider Business Mailing Address
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Address Line | 101 COLES CENTRE DR # 100
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City | MATTOON
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State | IL
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Zip | 61938-9314
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Country | US
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Telephone | 217-234-5110
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Fax | 217-235-5330
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041402014
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209031547
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 209031547
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License Number State | IL
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