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General NPI Number Information
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NPI Number | 1437373842
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Entity Type | Individual
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Provider Name | MISS ERIN ELIZABETH HORSTMAN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1989 CARRIAGE ROAD
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City | POWELL
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State | OH
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Zip | 43065
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Country | US
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Telephone | 614-436-4464
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Fax |
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Provider Business Mailing Address
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Address Line | 172 PLANK ROAD
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City | CLOVERDALE
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State | OH
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Zip | 45827
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Country | US
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Telephone | 419-488-2201
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | OH1-39-5526
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License Number State | OH
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