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General NPI Number Information
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NPI Number | 1225614449
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Entity Type | Individual
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Provider Name | COLLEEN MABLEY PTA
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Gender | Female
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Dates
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Enumeration Date | 03/18/2021
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Last Update Date | 09/01/2025
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Provider Practice Location Address
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Address Line | 8097 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-2321
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Country | US
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Telephone | 513-931-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 5654 WINDRIDGE DR
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City | CINCINNATI
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State | OH
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Zip | 45248-1743
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Country | US
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Telephone | 513-382-0556
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA012696
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License Number State | OH
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