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General NPI Number Information
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NPI Number | 1093720880
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Entity Type | Organization
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Legal Business Name | BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 950 HIGHPOINT DR
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-2570
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Country | US
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Telephone | 270-885-1151
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Fax | 270-885-7461
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Provider Business Mailing Address
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Address Line | 485 N KELLER RD SUITE 250
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City | MAITLAND
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State | FL
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Zip | 32751-7503
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Country | US
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Telephone | 407-975-3000
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Fax | 407-975-3090
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Authorized Official
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Title or Position | ASST. SECRETARY
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Name | MR. DAVID RODMAN
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Credential |
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Telephone | 407-975-3011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 90003997
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 100070
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License Number State | KY
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