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General NPI Number Information
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NPI Number | 1174093413
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Entity Type | Individual
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Provider Name | PERRY LOUISA MCGHEE
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Gender | Female
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Dates
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Enumeration Date | 11/29/2018
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 190 S MAIN ST STE 1
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City | RUTLAND
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State | VT
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Zip | 05701-4812
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Country | US
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Telephone | 802-775-1300
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Fax | 802-773-9300
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Provider Business Mailing Address
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Address Line | 190 S MAIN ST # 1
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City | RUTLAND
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State | VT
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Zip | 05701-4812
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Country | US
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Telephone | 802-775-1300
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Fax | 802-773-9300
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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 | 040.0134619
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License Number State | VT
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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 | AT001666
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License Number State | VT
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