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General NPI Number Information
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NPI Number | 1588391262
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Entity Type | Organization
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Legal Business Name | HEAD AND NECK PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 7811 FLINT RD STE D
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City | COLUMBUS
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State | OH
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Zip | 43235-6420
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Country | US
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Telephone | 614-655-1165
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Fax | 937-230-9986
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Provider Business Mailing Address
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Address Line | 1528 MAPLE HEIGHTS DR
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City | DELAWARE
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State | OH
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Zip | 43015-4594
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Country | US
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Telephone | 614-655-1165
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Fax | 937-230-9986
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Authorized Official
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Title or Position | OWNER
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Name | JENNA CHRISTINE GOAR
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Credential | PT
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Telephone | 720-937-1174
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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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