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General NPI Number Information
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NPI Number | 1649519547
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Entity Type | Individual
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Provider Name | MELANIE BUCHANAN SHERROD PT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 40 DOGWOOD AVE
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City | CROSSVILLE
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State | TN
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Zip | 38555-6400
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Country | US
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Telephone | 865-394-0563
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Fax | 865-376-6059
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Provider Business Mailing Address
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Address Line | 508 BUSBEE RD
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City | KNOXVILLE
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State | TN
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Zip | 37920-4465
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Country | US
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Telephone | 865-394-0563
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Fax | 865-376-6059
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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 | PT0000006551
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License Number State | TN
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