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General NPI Number Information
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NPI Number | 1114397429
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Entity Type | Individual
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Provider Name | NATHAN ETLER DPT
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Gender | Male
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Dates
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Enumeration Date | 09/29/2015
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 351 S LANE ST SUITE 1
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City | BUCYRUS
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State | OH
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Zip | 44820-2319
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Country | US
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Telephone | 419-562-6686
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Fax | 419-562-6625
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Provider Business Mailing Address
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Address Line | 7595 HANCOCK COUNTY ROAD 236
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City | FINDLAY
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State | OH
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Zip | 45840
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Country | US
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Telephone | 419-427-1984
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Fax | 419-427-2984
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT 015229
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License Number State | OH
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