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General NPI Number Information
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NPI Number | 1982497525
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Entity Type | Individual
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Provider Name | ERICA MARIE SLOAN NP
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Gender | Female
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 250 EL CAMINO REAL STE 209
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City | TUSTIN
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State | CA
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Zip | 92780-3656
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Country | US
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Telephone | 714-558-1050
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Fax |
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Provider Business Mailing Address
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Address Line | 14 GLADSTONE
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City | IRVINE
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State | CA
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Zip | 92606-7696
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Country | US
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Telephone | 714-313-5390
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Fax | 714-313-5390
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95026008
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License Number State | CA
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