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NPI 1548481120

NPI 1548481120 : KATHERINE LYNNE WARNECKE P.T., MPT : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1548481120
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE LYNNE WARNECKE P.T., MPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/01/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    3535 OLENTANGY RIVER ROAD 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43214
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    Country              |    US
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    Telephone            |    614-566-5288
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    Fax                  |    614-566-3678
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Provider Business Mailing Address
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    Address Line         |    2784 CARIFA DRIVE 
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    City                 |    HILLIARD
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    State                |    OH
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    Zip                  |    43026
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    Country              |    US
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    Telephone            |    614-507-5531
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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       |    011392
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    License Number State |    OH
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