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General NPI Number Information
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NPI Number | 1700271871
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Entity Type | Individual
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Provider Name | EMILEE MARIE BILLEAUD PT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2015
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 1307 GLENDALE AVE
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City | DURHAM
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State | NC
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Zip | 27701-1921
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Country | US
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Telephone | 919-450-5070
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 GLENDALE AVE
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City | DURHAM
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State | NC
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Zip | 27701-1921
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Country | US
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Telephone |
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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