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General NPI Number Information
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NPI Number | 1144147018
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Entity Type | Individual
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Provider Name | GAVIN THOMAS ERDMANN BSN, RN
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Gender | Male
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1656 MEDICAL BLVD STE 201
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City | NAPLES
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State | FL
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Zip | 34110-1423
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Country | US
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Telephone | 239-593-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 20580 W GOLDEN ELM DR UNIT 8
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City | ESTERO
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State | FL
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Zip | 33928-3498
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Country | US
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Telephone | 832-525-8741
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9594680
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License Number State | FL
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