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NPI 1881970853

NPI 1881970853 : MEGAN JILENE CURRAN : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1881970853
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN JILENE CURRAN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/22/2011
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    Last Update Date     |    10/22/2011
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Provider Practice Location Address
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    Address Line         |    635 PARKAIRE LN APT 909 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-2480
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    Country              |    US
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    Telephone            |    864-320-1197
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    635 PARKAIRE LN APT 909 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28217-2480
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    Country              |    US
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    Telephone            |    864-320-1197
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    Fax                  |    
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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       |    12613
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    012279
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    License Number State |    OH
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