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General NPI Number Information
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NPI Number | 1912934282
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Entity Type | Individual
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Provider Name | ERICA MANGER HAMBURGER DC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 271 POTTERS MILL TRL
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City | PONTE VEDRA
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State | FL
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Zip | 32081-1201
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Country | US
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Telephone | 504-251-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 271 POTTERS MILL TRL
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City | PONTE VEDRA
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State | FL
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Zip | 32081-1201
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Country | US
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Telephone | 504-251-1128
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 10850
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1376
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH13996
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License Number State | FL
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