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General NPI Number Information
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NPI Number | 1215501101
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Entity Type | Individual
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Provider Name | EMILY HULLBERG DPT
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Gender | Female
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Dates
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Enumeration Date | 05/17/2021
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 4140 SE ADAMS RD
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City | BARTLESVILLE
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State | OK
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Zip | 74006-8450
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Country | US
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Telephone | 918-214-8251
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Fax | 918-241-8635
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Provider Business Mailing Address
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Address Line | 16 HIBISCUS LN
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City | HANNIBAL
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State | MO
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Zip | 63401-6941
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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 |
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License Number State |
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