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General NPI Number Information
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NPI Number | 1205146438
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Entity Type | Individual
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Provider Name | JODY HERBERT DPT
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Gender | Female
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 1129 E MARION ST
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City | SHELBY
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State | NC
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Zip | 28150-4843
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Country | US
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Telephone | 704-471-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 5222 BELMONT AVE #239
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City | DALLAS
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State | TX
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Zip | 75206-6900
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Country | US
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Telephone | 309-737-6780
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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 | PTL-10962
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License Number State | CO
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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 | 081462
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8384
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P22383
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License Number State | NC
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