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General NPI Number Information
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NPI Number | 1235650938
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Entity Type | Individual
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Provider Name | SCHLONDA SUE BROWN MSPT
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Gender | Female
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Dates
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Enumeration Date | 07/03/2017
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Last Update Date | 07/18/2017
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Provider Practice Location Address
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Address Line | 6800 US HIGHWAY 23 S STE 5
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City | PIKEVILLE
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State | KY
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Zip | 41501-3701
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Country | US
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Telephone | 606-639-1200
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Fax | 606-639-1020
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Provider Business Mailing Address
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Address Line | 70 OLD PENNY RD
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City | VIRGIE
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State | KY
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Zip | 41572-8392
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Country | US
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Telephone | 606-794-2417
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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 | 003984
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License Number State | KY
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