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General NPI Number Information
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NPI Number | 1518170778
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Entity Type | Individual
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Provider Name | REBECCA ANN SEXTON PT
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Gender | Female
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 254 MAIN ST
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City | CADIZ
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State | KY
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Zip | 42211-9153
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Country | US
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Telephone | 270-522-2533
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Fax |
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Provider Business Mailing Address
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Address Line | 40 CUNNINGHAM AVE
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City | CADIZ
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State | KY
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Zip | 42211-7960
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Country | US
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Telephone | 931-302-5364
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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 | 4549
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License Number State | KY
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