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General NPI Number Information
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NPI Number | 1982355178
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Entity Type | Individual
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Provider Name | ERICA TILUS PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 1970 E OSCEOLA PKWY STE 338
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City | KISSIMMEE
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State | FL
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Zip | 34743-8629
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Country | US
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Telephone | 407-443-0923
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Fax | 407-753-5242
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Provider Business Mailing Address
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Address Line | 250 HIDDEN SPRINGS CIR
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City | KISSIMMEE
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State | FL
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Zip | 34743-6124
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Country | US
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Telephone | 407-844-9440
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11017523
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License Number State | FL
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