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General NPI Number Information
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NPI Number | 1801993233
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Entity Type | Individual
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Provider Name | ERICA OBERG ND MPH
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Gender | Female
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 02/04/2022
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Provider Practice Location Address
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Address Line | 875 PROSPECT ST STE 302
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City | LA JOLLA
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State | CA
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Zip | 92037-4264
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Country | US
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Telephone | 858-215-4935
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Fax | 206-726-9434
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Provider Business Mailing Address
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Address Line | 726 BROADWAY STE 301
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City | SEATTLE
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State | WA
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Zip | 98122
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Country | US
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Telephone | 206-726-0034
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Fax | 206-726-9434
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | NT00001220
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License Number State | WA
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