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General NPI Number Information
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NPI Number | 1528033388
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Entity Type | Individual
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Provider Name | MARSHA ANN FECHTER PT
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Gender | Female
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 1120 POLARIS PKWY STE 202
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City | COLUMBUS
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State | OH
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Zip | 43240-4042
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Country | US
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Telephone | 614-433-0264
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Fax | 614-545-0474
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Provider Business Mailing Address
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Address Line | 2055 BRYTON DR
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City | POWELL
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State | OH
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Zip | 43065-9198
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Country | US
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Telephone | 614-310-6214
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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 | 2494
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 4371
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License Number State | OH
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