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General NPI Number Information
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NPI Number | 1235330168
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Entity Type | Individual
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Provider Name | CARRIE EMMONS
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 115 PIONEER TRCE
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-9665
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Country | US
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Telephone | 606-845-8609
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Fax |
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Provider Business Mailing Address
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Address Line | 135 ASHLEY ST
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City | FLEMINGSBURG
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State | KY
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Zip | 41041-8657
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Country | US
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Telephone | 606-845-8609
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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 | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 003767
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License Number State | KY
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