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General NPI Number Information
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NPI Number | 1073853693
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Entity Type | Individual
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Provider Name | JILL ELLEN KIROL M.S. P.T.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 1014 ADAMS POINT DR
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City | GARNER
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State | NC
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Zip | 27529-6575
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Country | US
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Telephone | 919-359-1323
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Fax |
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Provider Business Mailing Address
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Address Line | 44 WHIRLAWAY ST
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City | CLAYTON
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State | NC
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Zip | 27520-5743
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Country | US
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Telephone | 917-353-7404
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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 | P22404
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License Number State | NC
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