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General NPI Number Information
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NPI Number | 1649472655
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Entity Type | Individual
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Provider Name | JANICE K JONES PTA
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Gender | Female
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Dates
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Enumeration Date | 06/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5111 COMMERCE CROSSING SUITE 100
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City | LOUISVILLE
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State | KY
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Zip | 40229
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Country | US
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Telephone | 502-968-9110
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Fax |
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Provider Business Mailing Address
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Address Line | 4914 OWENTON ROAD
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City | STAMPING GROUND
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State | KY
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Zip | 40379-0123
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Country | US
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Telephone | 859-325-0294
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | A00441
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License Number State | KY
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