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General NPI Number Information
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NPI Number | 1073892691
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Entity Type | Individual
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Provider Name | ROSEMARY EPPELL PTA
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Gender | Female
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Dates
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Enumeration Date | 08/12/2011
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 490 CENTRAL DR
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-2810
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Country | US
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Telephone | 910-246-1023
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Fax |
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Provider Business Mailing Address
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Address Line | 57 MAPLEWOOD DR
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City | SANFORD
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State | NC
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Zip | 27332-0145
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Country | US
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Telephone | 908-319-1021
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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 | 40QB00061300
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License Number State | NJ
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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 | A7798
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License Number State | NC
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