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General NPI Number Information
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NPI Number | 1174288567
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Entity Type | Individual
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Provider Name | TERESA KAISER PT
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Gender | Female
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Dates
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Enumeration Date | 11/01/2021
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Last Update Date | 11/01/2021
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Provider Practice Location Address
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Address Line | 2701 MAGNOLIA SPRINGS DR
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City | LEXINGTON
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State | KY
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Zip | 40511-1198
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Country | US
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Telephone | 859-410-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 177 INVERNESS DR
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City | GEORGETOWN
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State | KY
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Zip | 40324-8686
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Country | US
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Telephone | 585-317-2086
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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 | 2081N0008X
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Taxonomy Name | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | PT-008277
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License Number State | KY
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