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General NPI Number Information
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NPI Number | 1245622604
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Entity Type | Individual
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Provider Name | LINDA GERSTLAUER
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Gender | Female
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Dates
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Enumeration Date | 02/23/2015
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Last Update Date | 02/23/2015
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Provider Practice Location Address
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Address Line | 108 S MAIN ST
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City | RICHLANDTOWN
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State | PA
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Zip | 18955-1048
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Country | US
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Telephone | 267-371-4573
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Fax |
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Provider Business Mailing Address
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Address Line | 2032 PEPPERMINT RD
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City | COOPERSBURG
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State | PA
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Zip | 18036-9674
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Country | US
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Telephone | 610-346-1699
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT009110E
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License Number State | PA
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