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General NPI Number Information
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NPI Number | 1326746132
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Entity Type | Individual
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Provider Name | ERIKA-KATE GERLDEAN NOVAK LMT
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Gender | Female
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/21/2023
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Provider Practice Location Address
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Address Line | TRIHEALTH FITNESS & HEALTH PAVILION 6200 PFIEFFER RD
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City | CINCINNATI
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State | OH
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Zip | 45242
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Country | US
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Telephone | 513-855-0945
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Fax |
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Provider Business Mailing Address
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Address Line | 6167 MARATHON EDENTON RD
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City | BLANCHESTER
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State | OH
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Zip | 45107-8834
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Country | US
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Telephone | 513-652-1156
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.024999
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License Number State | OH
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