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NPI 1285663674

NPI 1285663674 : TAMMY MCGEE P.T : KOSCIUSKO, MS

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General NPI Number Information
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    NPI Number           |    1285663674
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    Entity Type          |    Individual 
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    Provider Name        |    TAMMY MCGEE P.T
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    140 N WELLS ST 
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    City                 |    KOSCIUSKO
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    State                |    MS
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    Zip                  |    39090-3637
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    Country              |    US
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    Telephone            |    662-290-6020
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    Fax                  |    662-290-6070
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Provider Business Mailing Address
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    Address Line         |    50 S MAIN ST 
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    City                 |    WATER VALLEY
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    State                |    MS
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    Zip                  |    38965-2946
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    Country              |    US
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    Telephone            |    662-473-3400
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    Fax                  |    662-473-4389
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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       |    PT1028
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    License Number State |    MS
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