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General NPI Number Information
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NPI Number | 1982867743
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Entity Type | Individual
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Provider Name | JENNIFER SELF SPENCER PT, DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 07/02/2008
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 3075 JOHN HAWKINS PKWY STE J
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City | HOOVER
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State | AL
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Zip | 35244-7003
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Country | US
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Telephone | 205-202-0874
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Fax | 205-293-3895
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Provider Business Mailing Address
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Address Line | 1217 WILLOW LEAF CIR
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City | HOOVER
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State | AL
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Zip | 35244-4131
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Country | US
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Telephone | 205-602-1848
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Fax | 205-293-3895
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 6224
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH6224
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License Number State | AL
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