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General NPI Number Information
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NPI Number | 1487177853
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Entity Type | Individual
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Provider Name | MEAGHAN CATHERINE DULLEA PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 07/18/2017
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Last Update Date | 08/28/2017
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Provider Practice Location Address
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Address Line | 2318 MARKET PLACE DR
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City | MARYVILLE
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State | TN
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Zip | 37801-8704
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Country | US
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Telephone | 865-984-3141
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Fax | 865-984-3893
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Provider Business Mailing Address
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Address Line | 6397 LEE HWY STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2564
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Country | US
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Telephone | 423-238-8930
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Fax | 423-254-5217
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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 |
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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 | 11531
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License Number State | TN
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