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General NPI Number Information
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NPI Number | 1184821209
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Entity Type | Individual
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Provider Name | JODI BODIKER DPT
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Gender | Female
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 2240 N POINTE DR
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City | WARSAW
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State | IN
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Zip | 46582-9042
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Country | US
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Telephone | 574-267-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 657 BARRINGTON PL
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City | WARSAW
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State | IN
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Zip | 46582-5849
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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 | 05009271A
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License Number State | IN
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