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General NPI Number Information
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NPI Number | 1740458751
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Entity Type | Individual
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Provider Name | ERICA DANIELLE MORIN RN
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Gender | Female
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 02/12/2008
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Provider Practice Location Address
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Address Line | 711 E MISSOURI AVE SUITE 110
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City | PHOENIX
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State | AZ
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Zip | 85014-2824
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Country | US
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Telephone | 602-604-0548
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Fax |
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Provider Business Mailing Address
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Address Line | 10069 E PARADISE DR
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-5918
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Country | US
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Telephone | 602-604-0548
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN088094
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License Number State | AZ
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