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General NPI Number Information
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NPI Number | 1467733154
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Entity Type | Individual
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Provider Name | HEATHER DIAN MEEKS PTA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 928 OLD SMITHVILLE RD
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City | MCMINNVILLE
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State | TN
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Zip | 37110-6805
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Country | US
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Telephone | 931-473-8431
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 135 219 FRANK LANE
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City | PALMER
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State | TN
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Zip | 37365-0135
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Country | US
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Telephone | 931-235-3758
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 0000004944
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License Number State | TN
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