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General NPI Number Information
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NPI Number | 1225310345
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Entity Type | Individual
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Provider Name | ERICK MESSLER
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Gender | Male
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 09/15/2020
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Provider Practice Location Address
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Address Line | 327 BROADWAY AVE STE 13
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City | YANKTON
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State | SD
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Zip | 57078-7800
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Country | US
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Telephone | 605-661-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 905 W 10TH ST
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City | YANKTON
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State | SD
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Zip | 57078-3415
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Country | US
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Telephone | 605-661-0095
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 579
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 568
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 608
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License Number State | SD
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