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General NPI Number Information
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NPI Number | 1811455173
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Entity Type | Individual
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Provider Name | ANDREA ERICKSON PA
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Gender | Female
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Dates
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Enumeration Date | 03/06/2019
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 7270 W BOYNTON BEACH BLVD STE B1
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3805
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Country | US
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Telephone | 561-738-5772
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Fax | 561-738-0096
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Provider Business Mailing Address
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Address Line | 7270 BOYNTON BEACH BLVD STE B1
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City | BOYNTON BEACH
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State | FL
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Zip | 33437-3805
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Country | US
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Telephone | 561-738-5772
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9111987
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License Number State | FL
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