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General NPI Number Information
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NPI Number | 1154514826
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Entity Type | Organization
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Legal Business Name | HANCOCK PHYSICAL THERAPY SPECIALISTS, LLC.
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Dates
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Enumeration Date | 08/24/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 1222 SKYLINE DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-4968
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Country | US
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Telephone | 270-719-9407
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Fax | 270-707-7377
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Provider Business Mailing Address
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Address Line | 755 EVERETT LN
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-9520
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Country | US
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Telephone | 270-719-9407
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Fax | 270-707-7377
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH HANCOCK
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Credential | P.T.
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Telephone | 270-719-9407
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 003647
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License Number State | KY
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