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General NPI Number Information
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NPI Number | 1780976142
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Entity Type | Individual
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Provider Name | KATHERINE DIANNE DRAPER P.T.
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Gender | Female
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 1244 PRIMACY PKWY
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City | MEMPHIS
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State | TN
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Zip | 38119-0201
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Country | US
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Telephone | 901-759-1282
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Fax | 901-759-1290
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Provider Business Mailing Address
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Address Line | 1789 KIRBY PKWY SUITE 3
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City | MEMPHIS
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State | TN
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Zip | 38138-3684
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Country | US
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Telephone | 901-759-1282
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Fax | 901-759-1290
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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 | 8457
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License Number State | TN
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