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General NPI Number Information
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NPI Number | 1922368554
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Entity Type | Individual
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Provider Name | REBECCA TILSON EPPERSON DPT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 410 NEW BRIDGE ST SUITE 10A
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4739
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Country | US
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Telephone | 910-347-2212
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Fax | 910-378-1747
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Provider Business Mailing Address
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Address Line | 410 NEW BRIDGE ST SUITE 10A
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City | JACKSONVILLE
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State | NC
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Zip | 28540-4739
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Country | US
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Telephone | 910-347-2212
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Fax | 910-378-1747
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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 | 3383
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 14815
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License Number State | NC
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