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General NPI Number Information
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NPI Number | 1073390183
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Entity Type | Individual
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Provider Name | MEGAN MICHELLE WATKINS PT,DPT
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Gender | Female
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 195 INDIAN LAKE BLVD
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-6448
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Country | US
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Telephone | 615-826-9223
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Fax |
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Provider Business Mailing Address
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Address Line | 1146 MOUNT VERNON RD
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City | BETHPAGE
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State | TN
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Zip | 37022-8320
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Country | US
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Telephone | 615-403-3383
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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 | 14923
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License Number State | TN
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