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General NPI Number Information
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NPI Number | 1811667108
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Entity Type | Individual
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Provider Name | KASEY ELIZABETH FLEENOR PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/17/2021
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 301 S GALLAHER VIEW RD STE 1A
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City | KNOXVILLE
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State | TN
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Zip | 37919-5355
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Country | US
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Telephone | 615-614-8833
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Fax | 615-614-8811
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Provider Business Mailing Address
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Address Line | 90 HOWARD DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8138
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Country | US
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Telephone | 615-614-8833
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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 | 13899
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License Number State | TN
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