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General NPI Number Information
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NPI Number | 1720922990
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Entity Type | Organization
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Legal Business Name | SIZEMORE THERAPY GROUP LLC
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 639 ANTLER DR
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City | HAZARD
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State | KY
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Zip | 41701-8255
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Country | US
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Telephone | 606-813-1819
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Fax |
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Provider Business Mailing Address
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Address Line | 639 ANTLER DR
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City | HAZARD
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State | KY
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Zip | 41701-8255
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/SLP
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Name | JONATHAN SIZEMORE
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Credential | SLP
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Telephone | 606-813-1819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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