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General NPI Number Information
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NPI Number | 1275527830
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Entity Type | Individual
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Provider Name | GREG EHRMAN ATC
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 TROJAN LN
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City | BROOKVILLE
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State | IN
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Zip | 47012-8421
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Country | US
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Telephone | 812-576-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 LAMMERS PIKE
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City | BATESVILLE
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State | IN
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Zip | 47006-9158
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Country | US
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Telephone | 812-934-9023
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | IN
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