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General NPI Number Information
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NPI Number | 1174514939
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Entity Type | Individual
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Provider Name | AUDRA HARP PT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 127 RIVERSIDE DR
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City | CYNTHIANA
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State | KY
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Zip | 41031-3801
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Country | US
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Telephone | 859-234-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 212 WAYNE DR
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City | RICHMOND
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State | KY
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Zip | 40475-2337
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Country | US
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Telephone | 859-625-0001
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Fax | 859-625-1108
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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 | 004158
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License Number State | KY
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