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General NPI Number Information
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NPI Number | 1912061482
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Entity Type | Individual
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Provider Name | CARLA A MCGINNIS PT
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Gender | Female
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CORNER HARDING & RT.10 COOK PARKWAY
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City | OCEANA
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State | WV
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Zip | 24870
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Country | US
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Telephone | 304-682-7100
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Fax | 304-682-7400
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Provider Business Mailing Address
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Address Line | 807 W BOYD ST
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City | GRAFTON
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State | WV
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Zip | 26354-1142
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Country | US
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Telephone | 304-265-3760
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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 | 001543
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License Number State | WV
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