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General NPI Number Information
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NPI Number | 1376732362
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Entity Type | Organization
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Legal Business Name | ERIK VAN DIJK
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Dates
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Enumeration Date | 10/16/2007
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 860 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-3870
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Country | US
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Telephone | 740-264-5559
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Fax | 740-264-5355
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Provider Business Mailing Address
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Address Line | 860 MAIN ST
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City | WINTERSVILLE
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State | OH
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Zip | 43953-3870
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Country | US
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Telephone | 740-264-5559
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Fax | 740-264-5355
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | ERIK VAN DIJK
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Credential |
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Telephone | 740-264-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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