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General NPI Number Information
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NPI Number | 1982112611
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Entity Type | Individual
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Provider Name | JENNA GOAR DPT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 10/05/2022
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Provider Practice Location Address
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Address Line | 6573 E BROAD ST
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City | COLUMBUS
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State | OH
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Zip | 43213-1509
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Country | US
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Telephone | 614-655-1165
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Fax | 937-230-9986
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Provider Business Mailing Address
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Address Line | 397 ABBOTSBURY DR
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City | WESTERVILLE
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State | OH
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Zip | 43082-9121
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Country | US
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Telephone | 720-937-1174
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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 |
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