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General NPI Number Information
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NPI Number | 1992860464
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Entity Type | Individual
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Provider Name | CECILY V ERICKSON A.R.N.P.
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Gender | Female
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 05/02/2008
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Provider Practice Location Address
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Address Line | 2700 152ND AVE NE
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City | REDMOND
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State | WA
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Zip | 98052-5543
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Country | US
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Telephone | 425-883-5151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34584
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City | SEATTLE
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State | WA
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Zip | 98124-1584
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Country | US
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Telephone | 509-241-7349
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Fax | 509-241-7268
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN00068424
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP30005261
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License Number State | WA
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