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General NPI Number Information
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NPI Number | 1902489438
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Entity Type | Individual
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Provider Name | COREY JOSEPH LUMP DPT
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Gender | Male
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Dates
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Enumeration Date | 05/03/2021
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 9240 DUBLIN RD
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City | POWELL
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State | OH
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Zip | 43065-9643
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Country | US
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Telephone | 614-379-1120
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Fax |
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Provider Business Mailing Address
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Address Line | 382 FRANKLIN CIR
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-8248
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Country | US
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Telephone | 740-637-0092
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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 |
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License Number State | OH
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