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General NPI Number Information
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NPI Number | 1992191878
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Entity Type | Individual
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Provider Name | EMILY ROUSH PT
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 03/12/2020
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Provider Practice Location Address
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Address Line | 622 RAYA CT
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City | CHARLOTTE
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State | NC
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Zip | 28204-2763
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Country | US
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Telephone | 980-224-3756
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Fax |
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Provider Business Mailing Address
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Address Line | 622 RAYA CT
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City | CHARLOTTE
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State | NC
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Zip | 28204-2763
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Country | US
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Telephone |
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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 | 17620
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License Number State | NC
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT.015009
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License Number State | OH
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