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General NPI Number Information
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NPI Number | 1497002000
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Entity Type | Individual
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Provider Name | MEGAN MCKENZIE MILLER DPT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2012
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Last Update Date | 03/31/2014
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Provider Practice Location Address
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Address Line | 4240 BALMORAL DR SW SUITE 100
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City | HUNTSVILLE
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State | AL
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Zip | 35801-6440
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Country | US
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Telephone | 256-883-1970
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Fax | 256-883-8061
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Provider Business Mailing Address
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Address Line | PO BOX 18863
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City | HUNTSVILLE
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State | AL
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Zip | 35804-8863
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Country | US
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Telephone | 256-883-1970
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Fax | 256-883-8061
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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 | PTH6556
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License Number State | AL
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