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NPI 1821688607

NPI 1821688607 : FOREFRONT COMMUNITY THERAPY INC : EVANSVILLE, IN

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General NPI Number Information
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    NPI Number           |    1821688607
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    Entity Type          |    Organization 
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    Legal Business Name  |    FOREFRONT COMMUNITY THERAPY INC 
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Dates
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    Enumeration Date     |    01/25/2021
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    Last Update Date     |    03/20/2025
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Provider Practice Location Address
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    Address Line         |    201 SE 4TH ST STE 150 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47713-1201
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    Country              |    US
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    Telephone            |    812-467-6716
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    Fax                  |    812-402-1250
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Provider Business Mailing Address
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    Address Line         |    PO BOX 3276 
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    City                 |    EVANSVILLE
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    State                |    IN
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    Zip                  |    47731-3276
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    Country              |    US
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    Telephone            |    812-473-0181
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    Fax                  |    812-492-6498
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RYAN H WOOD 
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    Credential           |    DPT
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    Telephone            |    812-402-0444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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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        |    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 #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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Taxonomy #4
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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