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General NPI Number Information
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NPI Number | 1811196124
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Entity Type | Organization
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Legal Business Name | MEHARRY PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 07/16/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 525 ENERGY CENTER BLVD SUITE 1601
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City | NORTHPORT
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State | AL
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Zip | 35473-5830
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Country | US
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Telephone | 205-759-5995
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Fax | 205-759-5935
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Provider Business Mailing Address
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Address Line | 525 ENERGY CENTER BLVD SUITE 1601
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City | NORTHPORT
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State | AL
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Zip | 35473-5830
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Country | US
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Telephone | 205-759-5995
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Fax | 205-759-5935
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | MR. TERRY ALLEN MEHARRY
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Credential | PT
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Telephone | 205-759-5995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1360
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License Number State | AL
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