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General NPI Number Information
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NPI Number | 1417694993
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Entity Type | Organization
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Legal Business Name | REBECCA JEHN, LLC
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Dates
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Enumeration Date | 05/17/2022
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Last Update Date | 05/17/2022
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Provider Practice Location Address
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Address Line | 75 CAVALIER BLVD STE 221
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City | FLORENCE
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State | KY
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Zip | 41042-3959
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Country | US
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Telephone | 513-708-3743
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Fax |
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Provider Business Mailing Address
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Address Line | 10 PRINCETON AVE
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City | FORT MITCHELL
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State | KY
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Zip | 41017-2852
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Country | US
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Telephone | 513-708-3743
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MRS. REBECCA JEHN
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Credential | PT
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Telephone | 513-708-3743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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