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General NPI Number Information
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NPI Number | 1215941521
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Entity Type | Individual
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Provider Name | SHARON DUNSEATH PTA
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Gender | Female
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 04/28/2010
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Provider Practice Location Address
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Address Line | 6286 BRIARCREST AVE SUITE 110
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City | MEMPHIS
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State | TN
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Zip | 38120-4023
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Country | US
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Telephone | 901-259-1600
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Fax | 901-259-2785
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Provider Business Mailing Address
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Address Line | PO BOX 8888
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City | BELFAST
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State | ME
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Zip | 04915-8888
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Country | US
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Telephone | 901-259-4260
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Fax | 901-259-2785
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2220
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License Number State | TN
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