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General NPI Number Information
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NPI Number | 1659967354
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Entity Type | Individual
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Provider Name | EMILY LIEVENS
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Gender | Female
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 654 BROOKSEDGE BLVD ATTN: EMPOWER PHYSIO AND WELLNESS
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City | WESTERVILLE
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State | OH
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Zip | 43081-2962
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Country | US
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Telephone | 614-423-9731
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Fax |
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Provider Business Mailing Address
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Address Line | 8455 HERITAGE DR
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City | CINCINNATI
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State | OH
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Zip | 45249-1356
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Country | US
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Telephone | 513-503-8344
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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 | PT020602
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License Number State | OH
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