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General NPI Number Information
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NPI Number | 1255625604
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Entity Type | Individual
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Provider Name | GAIL H SPENCE P.T.
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Gender | Female
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Dates
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Enumeration Date | 06/02/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 1400 GLORIA TERRELL DR SUITE G
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-9188
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Country | US
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Telephone | 859-781-2800
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Fax | 859-781-3500
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Provider Business Mailing Address
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Address Line | 2845 CHANCELLOR DR
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3418
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Country | US
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Telephone | 859-426-5888
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Fax | 859-426-0059
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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 | 000694
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License Number State | KY
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