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General NPI Number Information
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NPI Number | 1720945827
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Entity Type | Individual
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Provider Name | ERICKA ROSS
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Gender | Female
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 14450 PARK AVE STE 100
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City | VICTORVILLE
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State | CA
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Zip | 92392-2901
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Country | US
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Telephone | 760-514-8586
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Fax |
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Provider Business Mailing Address
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Address Line | 12755 BERRYDALE ST
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City | VICTORVILLE
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State | CA
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Zip | 92392-7927
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Country | US
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Telephone | 760-514-8586
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW119360
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License Number State | CA
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