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General NPI Number Information
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NPI Number | 1598842049
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Entity Type | Individual
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Provider Name | KRISTIN SIEGFRIED GERRETY PT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 852 MERRIMON AVE
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City | ASHEVILLE
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State | NC
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Zip | 28804-2405
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Country | US
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Telephone | 828-251-6091
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Fax | 828-251-6911
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Provider Business Mailing Address
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Address Line | 852 MERRIMON AVENUE
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City | ASHEVILLEQ
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State | NC
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Zip | 28804-2405
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Country | US
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Telephone | 828-251-6091
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Fax | 828-251-6911
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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 | 011592
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | P14569
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License Number State | NC
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