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General NPI Number Information
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NPI Number | 1790396091
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Entity Type | Individual
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Provider Name | EMMA POFF DPT
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Gender | Female
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Dates
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Enumeration Date | 08/11/2020
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 3584 SPRINGHURST BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40241-4141
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Country | US
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Telephone | 502-339-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 1049 CHEROKEE RD APT 23
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City | LOUISVILLE
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State | KY
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Zip | 40204-1237
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Country | US
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Telephone | 812-406-9717
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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 | PT35901
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 008269
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License Number State | KY
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