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General NPI Number Information
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NPI Number | 1669133294
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Entity Type | Individual
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Provider Name | AUSTIN DANIEL ERDMAN MA, SLP
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Gender | Male
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 414 E STATE ST
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City | BELDING
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State | MI
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Zip | 48809-2200
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Country | US
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Telephone | 616-794-0460
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Fax |
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Provider Business Mailing Address
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Address Line | 1944 BUTTRICK AVE SE
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City | ADA
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State | MI
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Zip | 49301-9204
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Country | US
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Telephone | 616-745-7346
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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