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General NPI Number Information
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NPI Number | 1518618842
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Entity Type | Individual
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Provider Name | KATHERINE RADLOFF O'DONOHUE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 01/18/2022
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Provider Practice Location Address
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Address Line | 1702 OWEN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-3419
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Country | US
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Telephone | 703-868-7454
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Fax |
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Provider Business Mailing Address
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Address Line | 820 SUMNER DR APT 14
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City | FAYETTEVILLE
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State | NC
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Zip | 28303-5556
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Country | US
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Telephone | 703-868-7454
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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 |
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License Number State |
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