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General NPI Number Information
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NPI Number | 1144601519
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Entity Type | Individual
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Provider Name | GEORGE MICHAEL CHILCOTT PTA
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Gender | Male
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Dates
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Enumeration Date | 06/11/2015
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 841 E 30TH ST
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City | ERIE
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State | PA
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Zip | 16504-1261
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Country | US
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Telephone | 814-440-7392
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Fax |
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Provider Business Mailing Address
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Address Line | 841 E 30TH ST
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City | ERIE
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State | PA
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Zip | 16504-1261
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2102139
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 51203
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 009299
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A4358
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 09054
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA003958
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 4229
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License Number State | SC
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Taxonomy #8
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2306604544
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License Number State | VA
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