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General NPI Number Information
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NPI Number | 1477479640
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Entity Type | Individual
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Provider Name | JENSEN OVERBAY DPT
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Gender | Female
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 2537 SAND PIKE BLVD
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City | PIGEON FORGE
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State | TN
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Zip | 37863-6271
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Country | US
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Telephone | 865-908-3205
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Fax | 865-908-6238
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Provider Business Mailing Address
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Address Line | 1103 VILLAGE DR
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City | SEVIERVILLE
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State | TN
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Zip | 37862-5029
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Country | US
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Telephone | 865-908-3261
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Fax | 865-908-1976
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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 | 17113
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License Number State | TN
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