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NPI 1811507700

NPI 1811507700 : ERIKA BARBOSA RICHARD AGNP-C : APEX, NC

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General NPI Number Information
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    NPI Number           |    1811507700
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA BARBOSA RICHARD AGNP-C
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/05/2020
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    Last Update Date     |    08/06/2026
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Provider Practice Location Address
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    Address Line         |    1071 PEMBERTON HILL RD STE 102 
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    City                 |    APEX
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    State                |    NC
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    Zip                  |    27502-4268
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    Country              |    US
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    Telephone            |    919-363-6060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1417 MARGRAVE DR 
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    City                 |    WAKE FOREST
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    State                |    NC
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    Zip                  |    27587-8412
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    Country              |    US
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    Telephone            |    919-737-5501
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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        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    5015002
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    244069
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    License Number State |    NC
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    RICH-525DW
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    License Number State |    NC
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Taxonomy #4
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    5015002
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    License Number State |    NC
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