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General NPI Number Information
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NPI Number | 1649048307
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Entity Type | Individual
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Provider Name | MICHAELA HUNTER HARRELL DPT
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Gender | Female
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 1125 N DIVISION AVE
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City | SANDPOINT
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State | ID
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Zip | 83864-2148
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Country | US
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Telephone | 208-265-9299
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Fax |
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Provider Business Mailing Address
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Address Line | 64 RIDGE CREST DR
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City | HARPERS FERRY
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State | WV
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Zip | 25425-5819
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Country | US
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Telephone | 304-261-3170
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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 | PT-9218
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License Number State | ID
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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 | P20798
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 004693
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License Number State | WV
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