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General NPI Number Information
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NPI Number | 1821444738
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Entity Type | Individual
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Provider Name | ERICKA SMITH ATC
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 6805 BOBCAT WAY
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City | DUBLIN
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State | OH
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Zip | 43016
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Country | US
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Telephone | 614-793-5634
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Fax |
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Provider Business Mailing Address
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Address Line | 1379 CHANCELLOR DR
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City | LIMA
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State | OH
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Zip | 45807-2179
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Country | US
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Telephone | 567-204-9704
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | OH
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