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General NPI Number Information
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NPI Number | 1972215978
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Entity Type | Organization
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Legal Business Name | LIGHT TOUCH PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 11305 REED HARTMAN HWY
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City | BLUE ASH
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State | OH
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Zip | 45241-2485
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Country | US
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Telephone | 513-792-2300
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Fax | 513-792-2300
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Provider Business Mailing Address
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Address Line | PO BOX 42302
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City | CINCINNATI
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State | OH
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Zip | 45242-0302
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Country | US
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Telephone | 513-792-2300
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Fax | 513-792-2300
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | VICKIE FAIRCHILD
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Credential | PT, CMA, BMCP
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Telephone | 513-792-2300
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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 |
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