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General NPI Number Information
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NPI Number | 1205234473
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Entity Type | Individual
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Provider Name | NANCY E. M. HENRY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/19/2014
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Last Update Date | 03/17/2020
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Provider Practice Location Address
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Address Line | 10944 NW EXPRESSWAY STE A
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City | YUKON
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State | OK
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Zip | 73099-8214
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Country | US
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Telephone | 405-924-9841
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Fax |
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Provider Business Mailing Address
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Address Line | 5412 NW 122ND TER
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City | OKLAHOMA CITY
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State | OK
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Zip | 73162-1829
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Country | US
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Telephone | 913-235-8885
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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 | 1101862
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License Number State | KS
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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 | 5438
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License Number State | OK
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