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General NPI Number Information
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NPI Number | 1760434518
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Entity Type | Individual
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Provider Name | SUSAN KAY GERHARD DPT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 1600 6TH AVE
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City | YORK
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State | PA
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Zip | 17403-2626
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Country | US
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Telephone | 717-356-4705
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Fax |
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Provider Business Mailing Address
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Address Line | 601 MEMORY LN
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City | YORK
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State | PA
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Zip | 17402-2231
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT006643L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | DAPT001067
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License Number State | PA
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Legacy Identifiers
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Identifier #1
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Identifier Code | 0016497700034
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #2
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Identifier Code | 0016497700005
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #3
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Identifier Code | 773530
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | MEDICARE
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Proprietary Identifiers Ever Reported
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Identifier #1
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Identifier Code | 0016497700005
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #2
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Identifier Code | 0016497700034
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Identifier Type | MEDICAID
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Identifier State | PA
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Identifier Issuer |
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Identifier #3
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Identifier Code | 773530
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Identifier Type | OTHER
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Identifier State | PA
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Identifier Issuer | MEDICARE
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