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General NPI Number Information
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NPI Number | 1881072775
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Entity Type | Individual
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Provider Name | ERIKA ACUNA PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 09/28/2016
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Provider Practice Location Address
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Address Line | 2730 SW MOODY AVE
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City | PORTLAND
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State | OR
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Zip | 97201-5042
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Country | US
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Telephone | 503-494-0843
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 SW PERKINS AVE
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City | PENDLETON
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State | OR
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Zip | 97801-4465
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Country | US
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Telephone | 541-215-1564
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Fax | 541-215-1567
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 179830
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License Number State | OR
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