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General NPI Number Information
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NPI Number | 1164038261
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Entity Type | Individual
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Provider Name | ELLEN WARD VOGT DPT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2020
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 1650 BRYAN STATION RD STE 122
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City | LEXINGTON
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State | KY
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Zip | 40505-2139
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Country | US
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Telephone | 859-293-6133
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Fax |
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Provider Business Mailing Address
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Address Line | 6395 DELANEY FERRY EXT
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City | VERSAILLES
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State | KY
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Zip | 40383-8599
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Country | US
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Telephone |
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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 | 008141
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | TP2020066
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License Number State | KY
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