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General NPI Number Information
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NPI Number | 1831417401
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Entity Type | Individual
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Provider Name | ERICKA MERRITT PT
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Gender | Female
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Dates
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Enumeration Date | 05/06/2010
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 68 WILLOW RD
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City | MENLO PARK
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State | CA
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Zip | 94025-3653
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Country | US
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Telephone | 401-323-3178
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Fax |
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Provider Business Mailing Address
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Address Line | 42 WRIGHT LN
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-5847
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Country | US
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Telephone | 401-323-3178
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008789
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT02354
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT293788
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License Number State | CA
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