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General NPI Number Information
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NPI Number | 1558966770
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Entity Type | Individual
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Provider Name | IAN MEE
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Gender | Male
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Dates
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Enumeration Date | 12/04/2020
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 1411 WOODBOURNE RD STE 206
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City | LEVITTOWN
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State | PA
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Zip | 19057-1540
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Country | US
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Telephone | 267-630-5740
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Fax | 267-630-5741
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT028606
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License Number State | PA
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