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General NPI Number Information
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NPI Number | 1659481893
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Entity Type | Organization
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Legal Business Name | HERTEL AND BROWN PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 2147 W 12TH ST STE 1
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City | ERIE
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State | PA
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Zip | 16505-4835
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Country | US
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Telephone | 814-456-6000
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Fax | 814-456-6060
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Provider Business Mailing Address
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Address Line | 2147 W 12TH ST STE 1
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City | ERIE
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State | PA
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Zip | 16505-4835
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Country | US
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Telephone | 814-456-6000
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Fax | 814-456-6060
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Authorized Official
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Title or Position | INS COORDINATOR
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Name | PATTY BERCHTOLD
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Credential |
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Telephone | 814-969-6680
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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 | PT016791
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License Number State | PA
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