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General NPI Number Information
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NPI Number | 1538084579
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Entity Type | Individual
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Provider Name | BREANNE MARIE GAHM PT, DPT, DS
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Gender | Female
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Dates
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Enumeration Date | 08/11/2026
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Last Update Date | 08/11/2026
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Provider Practice Location Address
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Address Line | 133 STAR DRIVE
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-9584
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Country | US
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Telephone | 740-253-8098
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Fax |
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Provider Business Mailing Address
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Address Line | 701 OAK DR
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1831
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Country | US
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Telephone |
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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 | PT021971
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License Number State | OH
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