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General NPI Number Information
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NPI Number | 1265306443
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Entity Type | Organization
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Legal Business Name | INJURY RELIEF CENTER OF SOUTH LOUISVILLE CHIROPRACTIC & REHAB
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 10303 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40272-3970
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Country | US
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Telephone | 502-333-0574
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Fax | 502-333-0127
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Provider Business Mailing Address
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Address Line | 10303 DIXIE HWY
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City | LOUISVILLE
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State | KY
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Zip | 40272-3970
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Country | US
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Telephone | 502-333-0574
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Fax | 502-333-0127
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID H IVEY
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Credential | DC
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Telephone | 502-333-0574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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