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General NPI Number Information
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NPI Number | 1477486496
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Entity Type | Individual
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Provider Name | ERIN M MCDERMOTT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 211 N 3RD AVE
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City | WAUSAU
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State | WI
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Zip | 54401-4411
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Country | US
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Telephone | 715-804-2273
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Fax | 715-845-6493
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Provider Business Mailing Address
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Address Line | 3000 SPRINGS WAY APT 3204
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City | CHASKA
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State | MN
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Zip | 55318-0057
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Country | US
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Telephone | 517-525-0139
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6002206-15
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License Number State | WI
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