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General NPI Number Information
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NPI Number | 1932593407
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Entity Type | Individual
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Provider Name | ERICA RAU
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Gender | Female
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 31 WALKER AVE STE 120
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City | PIKESVILLE
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State | MD
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Zip | 21208-4019
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Country | US
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Telephone | 410-205-2315
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Fax |
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Provider Business Mailing Address
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Address Line | 18007 SILVER LEAF DR
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City | GAITHERSBURG
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State | MD
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Zip | 20877-3764
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Country | US
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Telephone | 910-779-7236
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | LBA400
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License Number State | MD
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