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General NPI Number Information
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NPI Number | 1669501607
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Entity Type | Individual
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Provider Name | KATHY A TEACHOUT-SEMBER PT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 627 E WASHINGTON ST
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City | NASHVILLE
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State | NC
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Zip | 27856-1737
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Country | US
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Telephone | 252-382-9604
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Fax |
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Provider Business Mailing Address
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Address Line | 2517 PINE TREE LN
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-6579
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Country | US
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Telephone | 315-427-0506
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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 | 010791-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 5422
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License Number State | NC
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