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General NPI Number Information
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NPI Number | 1124339650
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Entity Type | Individual
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Provider Name | JOANNA MARIE FERREL PT
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Gender | Female
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 8051 WASHINGTON VILLAGE DR
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City | CENTERVILLE
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State | OH
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Zip | 45458-1885
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Country | US
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Telephone | 937-291-3160
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Fax |
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Provider Business Mailing Address
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Address Line | 2458 WYOMING ST APT A
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City | DAYTON
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State | OH
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Zip | 45410-2941
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Country | US
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Telephone | 567-259-9760
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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 | 012792
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License Number State | OH
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