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General NPI Number Information
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NPI Number | 1356915664
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Entity Type | Individual
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Provider Name | GRETCHEN MOLINARI
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Gender | Female
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 4912 US HIGHWAY 42 SUITE 104
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City | LOUISVILLE
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State | KY
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Zip | 40222-6357
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Country | US
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Telephone | 502-429-8640
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Fax | 502-426-2283
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Provider Business Mailing Address
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Address Line | 4912 US HIGHWAY 42 STE 104
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City | LOUISVILLE
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State | KY
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Zip | 40222-6357
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Country | US
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Telephone | 502-429-8640
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Fax | 502-426-2283
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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 | 002513
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 002513
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License Number State | KY
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