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General NPI Number Information
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NPI Number | 1801311840
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Entity Type | Organization
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Legal Business Name | MEEK MEDICAL MASSOTHERAPY LLC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 5577 N HIGH ST STE B
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City | WORTHINGTON
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State | OH
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Zip | 43085-3939
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Country | US
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Telephone | 614-400-4301
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Fax | 513-823-4194
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Provider Business Mailing Address
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Address Line | 7006 CHURCHILL DOWNS DR
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City | NEW ALBANY
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State | OH
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Zip | 43054-8016
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Country | US
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Telephone | 614-400-4301
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Fax | 513-823-4194
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MS. PAIGE MARIE AUTUMN MEEK
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Credential | LMT
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Telephone | 614-400-4301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 33.017440
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License Number State | OH
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