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General NPI Number Information
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NPI Number | 1295238798
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Entity Type | Individual
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Provider Name | KRISTEN SWOPE OVERBEY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/12/2018
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 4011B WARDS RD
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City | LYNCHBURG
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State | VA
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Zip | 24502-2943
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Country | US
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Telephone | 434-582-9838
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Fax | 434-582-9852
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Provider Business Mailing Address
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Address Line | 8205 PRESIDENTS DR FL 2
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City | HUMMELSTOWN
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State | PA
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Zip | 17036-8621
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Country | US
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Telephone | 717-839-2159
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Fax | 717-565-1104
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305212707
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License Number State | VA
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