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General NPI Number Information
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NPI Number | 1912527219
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Entity Type | Individual
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Provider Name | ERICA LYNN MCCALL DVM
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 487 W HIGHWAY 105
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City | MONUMENT
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State | CO
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Zip | 80132-9126
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Country | US
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Telephone | 719-481-3455
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Fax |
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Provider Business Mailing Address
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Address Line | 1109 LEHMBERG BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80915-2307
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Country | US
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Telephone | 619-846-5765
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 0010327
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License Number State | CO
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