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General NPI Number Information
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NPI Number | 1548526338
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Entity Type | Individual
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Provider Name | ERIN ANN WILSON PTA
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Gender | Female
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 208 MEADOW EDGE CT.
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City | RENO
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State | NV
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Zip | 89502
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Country | US
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Telephone | 805-448-1898
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Fax |
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Provider Business Mailing Address
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Address Line | 7863 CRESTLEIGH CT
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City | ANTELOPE
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State | CA
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Zip | 95843-5749
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Country | US
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Telephone | 805-448-1898
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT 5862
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License Number State | CA
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