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General NPI Number Information
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NPI Number | 1093220873
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Entity Type | Individual
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Provider Name | HONOREE MCGRAW POPE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/03/2017
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 4402 WILLIAMS DR STE 115
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City | GEORGETOWN
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State | TX
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Zip | 78628
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Country | US
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Telephone | 336-782-1555
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Fax |
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Provider Business Mailing Address
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Address Line | 105 N AUSTIN AVE APT 9203
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City | GEORGETOWN
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State | TX
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Zip | 78626-4245
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Country | US
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Telephone | 336-782-1555
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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 | PT013207
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1300007
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License Number State | TX
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