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General NPI Number Information
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NPI Number | 1477069748
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Entity Type | Individual
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Provider Name | ELIZABETH A MYERS PT, OCS
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Gender | Female
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Dates
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Enumeration Date | 12/21/2017
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 6585 S YALE AVE STE 445
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City | TULSA
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State | OK
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Zip | 74136-9703
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Country | US
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Telephone | 918-481-2977
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Fax | 918-481-2976
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Provider Business Mailing Address
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Address Line | 826 VINE ST APT C
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2342
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Country | US
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Telephone | 918-281-9996
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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 | 10500
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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 | 3594
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License Number State | OK
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