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General NPI Number Information
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NPI Number | 1861087074
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Entity Type | Individual
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Provider Name | ERICA ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 540 W THOMAS ST STE C
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City | MILLEDGEVILLE
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State | GA
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Zip | 31061-2745
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Country | US
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Telephone | 770-728-8572
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91841
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City | ATLANTA
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State | GA
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Zip | 30364-1841
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW007734
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | ISW03247
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License Number State | RI
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