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NPI 1770197253

NPI 1770197253 : ZOE FLATTMANN MCDANIEL PT, DPT : BILOXI, MS

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General NPI Number Information
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    NPI Number           |    1770197253
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    Entity Type          |    Individual 
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    Provider Name        |    ZOE FLATTMANN MCDANIEL PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2020
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    Last Update Date     |    09/11/2024
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Provider Practice Location Address
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    Address Line         |    301 FISHER ST 
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    City                 |    BILOXI
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    State                |    MS
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    Zip                  |    39534-2508
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    Country              |    US
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    Telephone            |    228-376-0446
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3005 RUE DOMINIQUE 
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    City                 |    DIBERVILLE
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    State                |    MS
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    Zip                  |    39540-6619
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    Country              |    US
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    Telephone            |    601-597-9495
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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       |    PTH9919
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    License Number State |    AL
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