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General NPI Number Information
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NPI Number | 1770848269
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Entity Type | Organization
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Legal Business Name | ERICKA V. HERRERA OD PA
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 10521 N. KENDALL DRIVE SUITE E-103
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-279-2212
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Fax | 305-279-3746
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Provider Business Mailing Address
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Address Line | 10521 N. KENDALL DRIVE SUITE E-103
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-279-2212
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Fax | 305-279-3746
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. ERICKA VANESSA HERRERA
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Credential | OD
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Telephone | 305-279-2212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC4227
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License Number State | FL
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