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General NPI Number Information
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NPI Number | 1992750210
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Entity Type | Individual
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Provider Name | ELLEN M. TRUBEY PT
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 1394 BATTLEFIELD PKWY
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City | FORT OGLETHORPE
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State | GA
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Zip | 30742-4010
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Country | US
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Telephone | 706-858-0252
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Fax | 706-858-0323
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Provider Business Mailing Address
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Address Line | 8007 HAMILTON MILL DR
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2760
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Country | US
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Telephone | 909-553-7284
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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 | PT29541
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License Number State | CA
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