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General NPI Number Information
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NPI Number | 1295592160
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Entity Type | Individual
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Provider Name | EMILY CORDRAY
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Gender | Female
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Dates
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Enumeration Date | 03/06/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 12803 W 87TH STREET PKWY
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City | LENEXA
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State | KS
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Zip | 66215-4528
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Country | US
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Telephone | 913-227-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 CORPORATE DR STE 400
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City | HOOVER
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State | AL
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Zip | 35242-5424
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Country | US
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Telephone | 423-238-7217
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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 | CP028038T
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License Number State | KY
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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 | 11-07760
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License Number State | KS
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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