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General NPI Number Information
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NPI Number | 1033922182
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Entity Type | Individual
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Provider Name | ERIKA GANSLER
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Gender | Female
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 1860 WOODDALE DR STE 100
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City | WOODBURY
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State | MN
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Zip | 55125-1947
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Country | US
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Telephone | 651-739-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 4753 BURR OAK ST
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City | EAGAN
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State | MN
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Zip | 55122-3321
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Country | US
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Telephone | 651-357-7868
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 202899
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License Number State | MN
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