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General NPI Number Information
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NPI Number | 1023142080
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Entity Type | Individual
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Provider Name | LISA A PRICE P.T.A.
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 2050 N GRAHAM RD
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City | FRANKLIN
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State | IN
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Zip | 46131-1277
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Country | US
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Telephone | 812-525-7140
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Fax |
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Provider Business Mailing Address
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Address Line | 13880 S 375 E
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City | ELIZABETHTOWN
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State | IN
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Zip | 47232-9738
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Country | US
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Telephone | 812-525-7140
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06003037A
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License Number State | IN
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