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General NPI Number Information
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NPI Number | 1902455058
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Entity Type | Organization
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Legal Business Name | ERIKA O'LEARY PLLC
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 1100 WHEATON WAY STE B
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City | BREMERTON
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State | WA
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Zip | 98310-4459
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Country | US
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Telephone | 360-499-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 816 WARREN AVE
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City | BREMERTON
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State | WA
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Zip | 98337-1555
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Country | US
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Telephone | 206-228-7034
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ERIKA C O'LEARY
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Credential | DC
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Telephone | 360-499-6309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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