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General NPI Number Information
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NPI Number | 1114132677
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Entity Type | Individual
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Provider Name | WENDY M KING PT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 389 MC CAMPBELL HALL 1581 DODD DR.
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City | COLUMBUS
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State | OH
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Zip | 43210-1205
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Country | US
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Telephone | 614-292-1234
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Fax | 614-292-4441
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Provider Business Mailing Address
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Address Line | 281 E CLEARVIEW AVE
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City | WORTHINGTON
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State | OH
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Zip | 43085-4085
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Country | US
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Telephone | 614-846-1687
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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 | 0621
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License Number State | OH
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