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NPI 1376524975

NPI 1376524975 : DONNA L HOPKINS PT : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1376524975
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    Entity Type          |    Individual 
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    Provider Name        |    DONNA L HOPKINS PT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/10/2005
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    Last Update Date     |    02/11/2009
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Provider Practice Location Address
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    Address Line         |    10810 MALLARD CREEK RD 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28262-9786
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    Country              |    US
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    Telephone            |    704-510-8011
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    Fax                  |    704-510-8029
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Provider Business Mailing Address
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    Address Line         |    PO BOX 667744 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28266-7744
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    Country              |    US
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    Telephone            |    704-596-6663
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    Fax                  |    704-597-5313
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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       |    1604
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    License Number State |    NC
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