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NPI 1831655695

NPI 1831655695 : NICOLE ERHART DPT : VENTURA, CA

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General NPI Number Information
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    NPI Number           |    1831655695
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    Entity Type          |    Individual 
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    Provider Name        |    NICOLE ERHART DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/18/2019
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    Last Update Date     |    08/22/2022
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Provider Practice Location Address
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    Address Line         |    5851 THILLE ST 
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    City                 |    VENTURA
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    State                |    CA
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    Zip                  |    93003-5414
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    Country              |    US
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    Telephone            |    844-385-9200
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14448 N COUNTY ROAD 600 E 
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    City                 |    BATESVILLE
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    State                |    IN
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    Zip                  |    47006-8430
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    Country              |    US
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    Telephone            |    812-363-3947
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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       |    05013761A
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    License Number State |    IN
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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       |    24892
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    License Number State |    MA
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT.9746
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    License Number State |    SC
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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    PT35390
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    License Number State |    FL
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