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General NPI Number Information
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NPI Number | 1700053170
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Entity Type | Individual
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Provider Name | ANNE MCCLELLAN HUDSON PT
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Gender | Female
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 701 E ROOSEVELT BLVD SUITE 600
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City | MONROE
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State | NC
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Zip | 28112-5170
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Country | US
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Telephone | 704-289-4595
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Fax | 704-220-1005
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Provider Business Mailing Address
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Address Line | PO BOX 5001
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City | MONROE
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State | NC
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Zip | 28111-5001
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Country | US
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Telephone | 704-289-4595
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Fax | 704-220-1005
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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 | 1523
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License Number State | NC
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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 | 386
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License Number State | SC
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