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General NPI Number Information
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NPI Number | 1184705188
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Entity Type | Individual
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Provider Name | ALLYSON ROONEY PT
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 01/29/2012
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Provider Practice Location Address
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Address Line | 275 BEATTY DR
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City | BELMONT
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State | NC
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Zip | 28012-2715
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Country | US
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Telephone | 704-512-3390
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Fax |
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Provider Business Mailing Address
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Address Line | 541 GLEN WALK DR
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City | FORT MILL
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State | SC
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Zip | 29708-6414
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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 | 12464
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License Number State | NC
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