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General NPI Number Information
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NPI Number | 1659834109
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Entity Type | Individual
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Provider Name | MEGHAN CASEY PT
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Gender | Female
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 04/11/2019
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Provider Practice Location Address
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Address Line | HWY 371 & ROUTE 9 JUNCTION
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City | CROWNPOINT
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State | NM
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Zip | 97313
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Country | US
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Telephone | 505-786-6291
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1813
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City | CROWNPOINT
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State | NM
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Zip | 87313-1813
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Country | US
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Telephone | 919-619-6575
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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 |
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License Number State |
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