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General NPI Number Information
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NPI Number | 1841938610
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Entity Type | Individual
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Provider Name | MEGAN ABIGAIL RADER PTA
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Gender | Female
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2806 SAINT MARYS RD
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City | SAINT MARYS
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State | GA
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Zip | 31558-4559
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Country | US
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Telephone | 912-567-6001
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Fax | 912-567-6002
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Provider Business Mailing Address
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Address Line | 2806 SAINT MARYS RD
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City | SAINT MARYS
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State | GA
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Zip | 31558-4559
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Country | US
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Telephone | 912-567-6001
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Fax | 912-567-6002
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA004739
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License Number State | GA
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