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NPI 1740689405

NPI 1740689405 : MICHELLE BEST P.T.A. : OWENSBORO, KY

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General NPI Number Information
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    NPI Number           |    1740689405
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    Entity Type          |    Individual 
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    Provider Name        |    MICHELLE BEST P.T.A.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2014
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    Last Update Date     |    08/19/2014
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Provider Practice Location Address
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    Address Line         |    2200 E PARRISH AVE BLDG E SUITE 105
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    City                 |    OWENSBORO
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    State                |    KY
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    Zip                  |    42303-1449
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    Country              |    US
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    Telephone            |    270-663-1304
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1834 COUNTY ROAD 680 N 
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    City                 |    FAIRFIELD
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    State                |    IL
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    Zip                  |    62837-4436
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    Country              |    US
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    Telephone            |    618-842-2003
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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       |    A03097
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    160.006518
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    License Number State |    IL
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Taxonomy #3
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    Taxonomy Code        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    06004738A
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    License Number State |    IN
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