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General NPI Number Information
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NPI Number | 1508059023
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Entity Type | Organization
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Legal Business Name | HOPPER PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 1805 S MAIN ST SUITE #5
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City | CORBIN
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State | KY
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Zip | 40701-2406
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Country | US
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Telephone | 606-526-1019
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Fax | 606-526-1038
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Provider Business Mailing Address
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Address Line | PO BOX 1740
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City | CORBIN
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State | KY
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Zip | 40702-1740
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Country | US
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Telephone | 606-526-1019
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Fax | 606-526-1038
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MRS. MARCEE W HOPPER
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Credential | PHYSICAL THERAPIST
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Telephone | 606-526-1019
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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 | 002056
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License Number State | KY
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