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General NPI Number Information
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NPI Number | 1366593915
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Entity Type | Individual
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Provider Name | GREGORY MARCUS ERB MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 15604 PINEHURST DR STE 2
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City | BASEHOR
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State | KS
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Zip | 66007-8234
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Country | US
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Telephone | 913-728-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 15604 PINEHURST DR STE 2
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City | BASEHOR
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State | KS
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Zip | 66007-8234
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Country | US
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Telephone | 913-728-2200
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 04-34857
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 94-06448
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License Number State | KS
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