{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "PHYSICAL ACUITY REHABILITATION, LLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8514 SHIRLEY LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOUISVILLE",
"MailingAddressStateName": "KY",
"MailingAddressPostalCode": "40258-1122",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "502-836-1642",
"MailingAddressFaxNumber": "502-245-1065",
"FirstLinePracticeLocationAddress": "13050 MAGISTERIAL DR",
"SecondLinePracticeLocationAddress": "SUITE 100",
"PracticeLocationAddressCityName": "LOUISVILLE",
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"PracticeLocationAddressPostalCode": "40223-5180",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "502-245-1061",
"PracticeLocationAddressFaxNumber": "502-245-1065",
"EnumerationDate": "09/03/2012",
"LastUpdateDate": "09/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DAVIS",
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"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "PT, DPT",
"AuthorizedOfficialTelephoneNumber": "502-245-1061",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2000X",
"TaxonomyName": "Physical Therapy Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": "KY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}