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General NPI Number Information
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NPI Number | 1134008717
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Entity Type | Individual
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Provider Name | LILLIAN ROSE MEYER PTA
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Gender | Female
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 410 PARK RD
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City | GREENSBURG
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State | IN
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Zip | 47240-1953
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Country | US
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Telephone | 812-663-7543
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Fax |
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Provider Business Mailing Address
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Address Line | 407 PARK RD
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City | GREENSBURG
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State | IN
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Zip | 47240-1954
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Country | US
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Telephone | 812-593-4815
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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 | 06006412A
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License Number State | IN
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