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General NPI Number Information
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NPI Number | 1841363843
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Entity Type | Individual
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Provider Name | KATHY R MCCOLUMN PT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 5225 HIGHWAY 18 W SUITE C
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City | JACKSON
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State | MS
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Zip | 39209-9420
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Country | US
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Telephone | 601-487-8456
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Fax | 601-487-8664
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Provider Business Mailing Address
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Address Line | 5225 HIGHWAY 18 W SUITE C
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City | JACKSON
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State | MS
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Zip | 39209-9420
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Country | US
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Telephone | 601-487-8456
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Fax | 601-487-8664
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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 | PT 0908
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License Number State | MS
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