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General NPI Number Information
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NPI Number | 1033694708
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Entity Type | Individual
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Provider Name | REBECCA HITE
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 09/28/2018
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Provider Practice Location Address
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Address Line | 1404 TUSCULUM BLVD
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City | GREENEVILLE
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State | TN
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Zip | 37745-4395
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Country | US
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Telephone | 423-636-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 RHEATOWN RD
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City | CHUCKEY
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State | TN
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Zip | 37641-4581
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Country | US
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Telephone | 423-620-7306
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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 | 4509
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License Number State | TN
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