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General NPI Number Information
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NPI Number | 1184909350
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Entity Type | Individual
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Provider Name | PAIGE MARIE AUTUMN MEEK LMT
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Gender | Female
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 04/26/2019
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Provider Practice Location Address
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Address Line | 5577 N HIGH ST STE B
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City | WORTHINGTON
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State | OH
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Zip | 43085-3939
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Country | US
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Telephone | 614-400-4301
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Fax | 513-823-4194
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Provider Business Mailing Address
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Address Line | 7006 CHURCHILL DOWNS DR
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City | NEW ALBANY
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State | OH
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Zip | 43054-8016
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Country | US
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Telephone | 614-783-2004
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 33.017440
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 33.017440
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License Number State | OH
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