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General NPI Number Information
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NPI Number | 1013624584
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Entity Type | Organization
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Legal Business Name | PHYSICIANS REHAB SOLUTION LLC
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | 1945 SCOTTSVILLE RD BLDG II
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3376
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Country | US
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Telephone | 270-904-9615
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Fax | 270-721-0028
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Provider Business Mailing Address
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Address Line | PO BOX 6398
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City | ELIZABETHTOWN
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State | KY
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Zip | 42702-6398
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | HALLIE CIOCHETTY
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Credential |
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Telephone | 270-799-0483
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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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