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General NPI Number Information
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NPI Number | 1932875671
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Entity Type | Individual
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Provider Name | EMILY NEARY DPT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 8235 CLAYTON RD STE 102
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City | RICHMOND HEIGHTS
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State | MO
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Zip | 63117-1107
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Country | US
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Telephone | 314-530-5990
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Fax | 314-530-5993
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Provider Business Mailing Address
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Address Line | 14515 N OUTER 40 RD STE 110
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City | CHESTERFIELD
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State | MO
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Zip | 63017-5746
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Country | US
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Telephone | 314-434-8680
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Fax | 314-453-9985
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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 | 2021033704
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License Number State | MO
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