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General NPI Number Information
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NPI Number | 1932224979
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Entity Type | Individual
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Provider Name | TRACY LIN BOONE PT
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Gender | Female
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Dates
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Enumeration Date | 03/20/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 431 OHIO PIKE SUITE 108
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City | CINCINNATI
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State | OH
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Zip | 45255-3375
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Country | US
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Telephone | 513-528-3100
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Fax | 513-528-3533
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Provider Business Mailing Address
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Address Line | 818 MASSACHUSETTS DR
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City | CINCINNATI
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State | OH
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Zip | 45245-1704
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Country | US
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Telephone | 513-943-9624
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Fax | 513-943-9624
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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 | 009251
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License Number State | OH
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