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General NPI Number Information
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NPI Number | 1407275910
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Entity Type | Individual
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Provider Name | MELANIE A ABBOTT DPT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2014
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 2312 KNOB CREEK RD STE 200
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City | JOHNSON CITY
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State | TN
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Zip | 37604
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Country | US
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Telephone | 423-430-9004
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Fax | 423-430-9005
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Provider Business Mailing Address
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Address Line | PO BOX 3889
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City | JOHNSON CITY
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State | TN
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Zip | 37602-3889
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Country | US
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Telephone | 423-794-1300
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Fax | 423-794-1820
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 9881
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9881
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License Number State | TN
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