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General NPI Number Information
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NPI Number | 1093471385
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Entity Type | Organization
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Legal Business Name | NULEASE MEDICAL SOLUTIONS LLC
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Dates
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Enumeration Date | 11/11/2021
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 854 TUNNEL HILL RD
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-8064
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Country | US
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Telephone | 502-492-7455
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Fax |
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Provider Business Mailing Address
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Address Line | 5722 OUTER LOOP
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City | LOUISVILLE
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State | KY
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Zip | 40219-4156
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Country | US
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Telephone | 502-492-7455
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHANNON CALES
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Credential |
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Telephone | 502-492-7455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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