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General NPI Number Information
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NPI Number | 1881978914
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Entity Type | Individual
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Provider Name | MARIA A BOLTON PT
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Gender | Female
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Dates
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Enumeration Date | 10/07/2011
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Last Update Date | 07/10/2024
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Provider Practice Location Address
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Address Line | 8234 HIGHWAY 100
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City | NASHVILLE
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State | TN
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Zip | 37221-4043
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Country | US
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Telephone | 615-490-8047
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Fax | 615-288-0933
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Provider Business Mailing Address
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Address Line | 8234 HIGHWAY 100
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City | NASHVILLE
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State | TN
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Zip | 37221-4043
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Country | US
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Telephone | 615-790-8047
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Fax | 615-288-0933
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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 | PT0000004059
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License Number State | TN
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