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General NPI Number Information
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NPI Number | 1962607598
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Entity Type | Individual
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Provider Name | ERIN ELIZABETH GERHARDT D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 6420 CLAYTON TD
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-768-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 CLAYTON RD
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117
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Country | US
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Telephone | 314-768-8360
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 5101016987
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2010004185
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License Number State | MO
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