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General NPI Number Information
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NPI Number | 1134776677
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Entity Type | Individual
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Provider Name | MELINDA EARNEST PT, AT, DPT, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 231 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45267-2213
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Country | US
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Telephone | 513-558-7656
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Fax |
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Provider Business Mailing Address
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Address Line | 231 ALBERT SABIN WAY
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City | CINCINNATI
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State | OH
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Zip | 45267-2630
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH10920
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT1605
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT005284
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 36003165A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2689
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License Number State | AL
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017987
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License Number State | OH
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