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General NPI Number Information
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NPI Number | 1699010017
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Entity Type | Individual
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Provider Name | EMILY BETH PAYNE DPT
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Gender | Female
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 7330 KNOTTSVILLE MOUNT ZION RD
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City | PHILPOT
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State | KY
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Zip | 42366-9730
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Country | US
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Telephone | 270-315-8360
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Fax |
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Provider Business Mailing Address
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Address Line | 7330 KNOTTSVILLE MOUNT ZION RD
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City | PHILPOT
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State | KY
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Zip | 42366-9730
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Country | US
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Telephone | 270-315-8360
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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 | 006054
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License Number State | KY
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