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General NPI Number Information
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NPI Number | 1093501793
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Entity Type | Individual
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Provider Name | MONICA RENE MCGRAW DPT
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Gender | Female
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 327 OLD HIGHWAY 431 STE C
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City | OWENS CROSS ROADS
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State | AL
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Zip | 35763-9474
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Country | US
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Telephone | 256-517-9277
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Fax |
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Provider Business Mailing Address
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Address Line | 608 N PURDY ST
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City | SUMTER
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State | SC
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Zip | 29150-4114
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Country | US
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Telephone | 256-604-7730
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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 | PTH12226
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License Number State | AL
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