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General NPI Number Information
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NPI Number | 1700851706
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Entity Type | Individual
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Provider Name | PATTI KILPATRICK PT
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 11/02/2007
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Provider Practice Location Address
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Address Line | 610 N JEFFERSON ST
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City | GOLDSBORO
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State | NC
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Zip | 27530-4070
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Country | US
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Telephone | 919-735-9292
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Fax | 919-735-9292
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Provider Business Mailing Address
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Address Line | 522 EBENEZER CHURCH RD
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City | GOLDSBORO
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State | NC
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Zip | 27530-9463
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Country | US
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Telephone | 919-735-9292
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Fax | 919-735-9292
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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 | 2447
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License Number State | NC
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