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General NPI Number Information
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NPI Number | 1366614422
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Entity Type | Individual
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Provider Name | CAROL DENISE KILBURN PT
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Gender | Female
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Dates
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Enumeration Date | 03/28/2008
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 935 WAYNE RD
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City | SAVANNAH
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State | TN
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Zip | 38372-1937
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Country | US
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Telephone | 731-926-8362
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Fax | 731-926-8362
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Provider Business Mailing Address
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Address Line | 939 GRANDMERE RD
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-7027
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Country | US
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Telephone | 931-762-2671
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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 | 2040
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License Number State | TN
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