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General NPI Number Information
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NPI Number | 1992662761
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Entity Type | Organization
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Legal Business Name | ERIKA LYNN NICHELSON LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 11089 RESORT RD STE 204
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2073
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Country | US
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Telephone | 410-696-1388
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Fax | 410-696-1386
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Provider Business Mailing Address
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Address Line | 11089 RESORT RD STE 204
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-2073
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Country | US
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Telephone | 410-696-1388
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Fax | 410-696-1386
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Authorized Official
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Title or Position | CEO/OWNER
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Name | ERIKA LYNN NICHELSON
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Credential | DO
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Telephone | 410-696-1388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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