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General NPI Number Information
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NPI Number | 1225964646
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Entity Type | Individual
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Provider Name | KATHERINE MELINA EI PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 835 WAKE FOREST BUSINESS PARK STE A
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City | WAKE FOREST
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State | NC
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Zip | 27587-7324
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Country | US
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Telephone | 919-562-9941
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Fax |
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Provider Business Mailing Address
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Address Line | 4201 LAKE BOONE TRL STE 4
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City | RALEIGH
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State | NC
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Zip | 27607-7511
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Country | US
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Telephone | 919-781-4434
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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 | P24977
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License Number State | NC
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