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General NPI Number Information
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NPI Number | 1861206344
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Entity Type | Individual
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Provider Name | ERICKA ANN MICHELLE MITCHELL RN
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 4134 LINDEN AVE STE 305
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City | DAYTON
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State | OH
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Zip | 45432-3035
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Country | US
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Telephone | 937-963-4225
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 750006
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City | DAYTON
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State | OH
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Zip | 45475-0006
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | LPN.180759.MEDS-IV
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License Number State | OH
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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 | RN.544109
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License Number State | OH
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