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General NPI Number Information
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NPI Number | 1689026049
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Entity Type | Organization
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Legal Business Name | JUDY GREENE DBA GREENE PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 07/11/2016
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Last Update Date | 07/13/2016
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Provider Practice Location Address
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Address Line | 1910 SOUTH VIRGINIA STE., STE. 108
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-885-9110
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Fax | 270-885-9110
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Provider Business Mailing Address
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Address Line | 1910 SOUTH VIRGINIA ST, STE. 108
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-885-9110
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Fax | 270-885-9110
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Authorized Official
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Title or Position | LPT/OWNER
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Name | MRS. JUDY A GREENE
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Credential | LPT
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Telephone | 270-885-9110
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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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