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General NPI Number Information
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NPI Number | 1770038028
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Entity Type | Individual
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Provider Name | BENJAMIN ALIKA ERBE D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 08/16/2016
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Last Update Date | 08/16/2016
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Provider Practice Location Address
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Address Line | 4100 E BROADWAY RD STE 130
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City | PHOENIX
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State | AZ
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Zip | 85040-8809
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Country | US
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Telephone | 602-437-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 N ELM CT
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City | GILBERT
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State | AZ
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Zip | 85234-2372
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Country | US
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Telephone | 913-553-7838
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 12459PT
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License Number State | AZ
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