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General NPI Number Information
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NPI Number | 1093206708
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Entity Type | Individual
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Provider Name | MEGAN CUSICK REEVES DPT
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 427 N WENDOVER RD
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City | CHARLOTTE
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State | NC
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Zip | 28211-1064
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Country | US
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Telephone | 704-304-0620
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Fax |
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Provider Business Mailing Address
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Address Line | 303 S FIFTH ST
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City | MEBANE
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State | NC
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Zip | 27302-2705
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | P18002
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License Number State | NC
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