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General NPI Number Information
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NPI Number | 1982051090
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Entity Type | Individual
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Provider Name | RAYMOND ERPE
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Gender | Male
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 715 ARGYLL ST
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City | CHESAPEAKE
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State | VA
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Zip | 23320-3105
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Country | US
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Telephone | 757-547-4528
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 IVY TRL APT A
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City | CHESAPEAKE
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State | VA
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Zip | 23320-7633
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Country | US
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Telephone | 317-435-3684
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306603838
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06004665A
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License Number State | IN
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