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General NPI Number Information
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NPI Number | 1528175833
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Entity Type | Individual
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Provider Name | DAVID F. ERDMANN PT
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 07/13/2007
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Provider Practice Location Address
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Address Line | 205 W GREEN BAY ST
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City | SHAWANO
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State | WI
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Zip | 54166-2333
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Country | US
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Telephone | 715-526-5433
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Fax | 715-526-6930
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Provider Business Mailing Address
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Address Line | 4000 N PROVIDENCE AVE
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City | APPLETON
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State | WI
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Zip | 54913-8018
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Country | US
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Telephone | 920-257-2000
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Fax | 920-257-2004
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3059-024
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License Number State | WI
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