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General NPI Number Information
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NPI Number | 1205924453
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Entity Type | Individual
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Provider Name | TERRI CHERNI P.T.
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 1120 15TH ST
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City | AUGUSTA
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State | GA
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Zip | 30912-0004
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Country | US
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Telephone | 706-721-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 1088 CONN DR
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City | EVANS
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State | GA
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Zip | 30809-4860
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Country | US
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Telephone | 706-830-6779
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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 | 5128
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT008841
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License Number State | GA
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