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General NPI Number Information
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NPI Number | 1942966429
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Entity Type | Individual
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Provider Name | ERIN MATHEWS PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/09/2021
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 232 MERRICK RD
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City | LYNBROOK
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State | NY
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Zip | 11563-2623
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Country | US
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Telephone | 516-594-5961
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Fax | 516-256-5556
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Provider Business Mailing Address
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Address Line | 100 CROWN AVE
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City | ELMONT
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State | NY
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Zip | 11003-1313
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Country | US
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Telephone | 516-205-4569
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 030534
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License Number State | NY
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