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General NPI Number Information
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NPI Number | 1285311654
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Entity Type | Individual
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Provider Name | HANNAH RUTH COMENZIND PTA
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Gender | Female
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 870 CORPORATE DR STE 104
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City | LEXINGTON
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State | KY
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Zip | 40503-5417
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Country | US
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Telephone | 859-785-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 3661 LEISURE CREEK CT
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City | LEXINGTON
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State | KY
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Zip | 40517-2902
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Country | US
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Telephone | 859-457-5852
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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 | A04271
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License Number State | KY
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