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General NPI Number Information
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NPI Number | 1063512697
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Entity Type | Organization
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Legal Business Name | GREEN HILL THERAPY INC
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 10/05/2021
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Provider Practice Location Address
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Address Line | 1410 LONG RUN RD
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City | LOUISVILLE
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State | KY
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Zip | 40245-4334
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Country | US
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Telephone | 502-265-8847
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Fax | 502-244-6631
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Provider Business Mailing Address
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Address Line | 1410 LONG RUN ROAD
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City | LOUISVILLE
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State | KY
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Zip | 40245
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Country | US
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Telephone | 502-244-8011
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Fax | 502-244-6631
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | ANDREA BURTON
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Credential |
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Telephone | 502-265-8847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | R4085
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License Number State | KY
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Taxonomy #4
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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 | KY
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