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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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