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General NPI Number Information
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NPI Number | 1124254065
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Entity Type | Individual
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Provider Name | KATHRYN D MITCHELL PT, DPT, NCS
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Gender | Female
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 06/05/2009
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Provider Practice Location Address
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Address Line | 245 N 15TH ST # MS 502 ROOM 940
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1101
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Country | US
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Telephone | 215-762-1749
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Fax | 215-762-3886
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Provider Business Mailing Address
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Address Line | 245 N 15TH ST # MS 502 ROOM 940
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City | PHILADELPHIA
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State | PA
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Zip | 19102-1101
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Country | US
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Telephone | 215-762-1749
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Fax | 215-762-3886
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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 | PT6495L
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License Number State | PA
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