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General NPI Number Information
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NPI Number | 1811357700
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Entity Type | Individual
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Provider Name | CHRISTOPHER GERHARDT DPT
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Gender | Male
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Dates
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Enumeration Date | 03/04/2016
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Last Update Date | 03/04/2016
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Provider Practice Location Address
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Address Line | 21550 HARRINGTON ST STE D.
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City | CLINTON TWP
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State | MI
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Zip | 48036-2362
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Country | US
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Telephone | 586-783-7590
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Fax | 586-783-7876
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Provider Business Mailing Address
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Address Line | 1773 STAR BATT DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3708
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Country | US
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Telephone | 248-650-4720
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Fax | 248-650-8670
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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 | 5501017638
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License Number State | MI
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