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General NPI Number Information
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NPI Number | 1750198545
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Entity Type | Organization
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Legal Business Name | DR. ERIKA, PLLC
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1200 N MAIN ST
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City | MERIDIAN
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State | ID
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Zip | 83642-8799
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Country | US
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Telephone | 208-985-5126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 925
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City | MERIDIAN
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State | ID
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Zip | 83680-0925
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Country | US
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Telephone | 208-850-0276
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Fax | 208-881-5185
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA ARAGONA
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Credential | DO
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Telephone | 208-850-0276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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