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NPI 1336518497

NPI 1336518497 : LUCY PATTON DPT : VANDALIA, OH

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General NPI Number Information
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    NPI Number           |    1336518497
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    Entity Type          |    Individual 
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    Provider Name        |    LUCY PATTON DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/18/2015
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    Last Update Date     |    08/05/2024
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Provider Practice Location Address
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    Address Line         |    810 FALLS CREEK DR 
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    City                 |    VANDALIA
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    State                |    OH
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    Zip                  |    45377-8600
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    Country              |    US
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    Telephone            |    937-298-2584
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    Fax                  |    937-298-0894
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Provider Business Mailing Address
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    Address Line         |    6480 HARRISON AVE STE 201 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45247-7961
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    Country              |    US
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    Telephone            |    513-713-1779
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    Fax                  |    513-854-9921
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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       |    PT-006773
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    PT016663
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    License Number State |    OH
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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       |    PT016663
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    License Number State |    OH
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