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General NPI Number Information
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NPI Number | 1689806655
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Entity Type | Individual
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Provider Name | MEGAN ANN MCKINNEY PT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2009
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Last Update Date | 08/10/2009
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Provider Practice Location Address
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Address Line | 3821 S CHICAGO AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-3712
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Country | US
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Telephone | 414-762-7336
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Fax |
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Provider Business Mailing Address
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Address Line | W176S8404 CLEARBROOK DR
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City | MUSKEGO
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State | WI
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Zip | 53150-8796
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Country | US
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Telephone | 262-679-5411
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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 | 11320
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License Number State | WI
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