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General NPI Number Information
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NPI Number | 1578943874
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Entity Type | Individual
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Provider Name | MARIN GERBERICH AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 11388 COUNTY ROAD B
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City | WAUSEON
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State | OH
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Zip | 43567-9594
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Country | US
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Telephone | 567-454-0787
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 W BANCROFT ST
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City | TOLEDO
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State | OH
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Zip | 43606-3328
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Country | US
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Telephone | 567-454-0787
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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