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General NPI Number Information
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NPI Number | 1720496029
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Entity Type | Individual
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Provider Name | PAULI MCPHERSON
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Gender | Female
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Dates
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Enumeration Date | 07/30/2014
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Last Update Date | 12/29/2022
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Provider Practice Location Address
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Address Line | 495 WINN WAY STE 250
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City | DECATUR
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State | GA
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Zip | 30030-1751
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Country | US
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Telephone | 404-294-1313
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Fax |
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Provider Business Mailing Address
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Address Line | 495 WINN WAY STE 250
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City | DECATUR
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State | GA
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Zip | 30030-1751
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305208869
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License Number State | VA
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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 | 1311743
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT016264
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License Number State | GA
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