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General NPI Number Information
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NPI Number | 1619122587
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Entity Type | Individual
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Provider Name | CARA EILEEN MEINDL PT
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Gender | Female
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Dates
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Enumeration Date | 11/19/2008
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Last Update Date | 08/16/2019
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Provider Practice Location Address
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Address Line | 3666 KEARNY VILLA RD
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City | SAN DIEGO
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State | CA
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Zip | 92123-1951
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Country | US
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Telephone | 858-505-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 HORNBLEND ST
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City | SAN DIEGO
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State | CA
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Zip | 92109-4323
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Country | US
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Telephone | 860-202-4576
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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 | 008391
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License Number State | CT
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