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General NPI Number Information
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NPI Number | 1407733488
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Entity Type | Individual
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Provider Name | EMILY THAYER
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Gender | Female
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 2100 25TH ST STE K
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City | COLUMBUS
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State | IN
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Zip | 47201-3203
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Country | US
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Telephone | 812-372-3035
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Fax |
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Provider Business Mailing Address
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Address Line | 12922 N COUNTY ROAD 900 E
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City | HOPE
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State | IN
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Zip | 47246-9677
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Country | US
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Telephone | 812-639-7723
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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 | 06005770A
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License Number State | IN
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