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General NPI Number Information
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NPI Number | 1982274551
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Entity Type | Organization
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Legal Business Name | DR. MEGAN MULLIN PHYSICAL THERAPY, P.C.
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Dates
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Enumeration Date | 06/28/2021
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Last Update Date | 06/28/2021
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Provider Practice Location Address
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Address Line | 188 TANK FARM RD
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7528
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Country | US
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Telephone | 518-888-5973
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3180
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City | SHELL BEACH
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State | CA
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Zip | 93448-3180
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Country | US
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Telephone | 518-888-5973
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Fax |
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Authorized Official
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Title or Position | OWNER, PT
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Name | MEGAN JOY MULLIN
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Credential | DPT
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Telephone | 518-888-5973
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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 |
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License Number State |
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