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General NPI Number Information
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NPI Number | 1629548425
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Entity Type | Individual
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Provider Name | KATHERINE ELIZABETH DREGER PT
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Gender | Female
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Dates
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Enumeration Date | 12/05/2018
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Last Update Date | 12/05/2018
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Provider Practice Location Address
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Address Line | 850 COLUMBIA RD STE 110
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City | WESTLAKE
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State | OH
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Zip | 44145-7213
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Country | US
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Telephone | 440-250-5767
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Fax | 440-250-5768
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Provider Business Mailing Address
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Address Line | 5596 GREEN OAK AVE
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City | MENTOR
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State | OH
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Zip | 44060-2010
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Country | US
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Telephone | 440-313-8740
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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 | PT017618
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License Number State | OH
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