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General NPI Number Information
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NPI Number | 1326630484
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Entity Type | Organization
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Legal Business Name | LANDMARK RECOVERY OF KENTUCKY LLC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 4112 FERN VALLEY RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-1973
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Country | US
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Telephone | 502-964-2699
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Fax | 833-728-0420
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Provider Business Mailing Address
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Address Line | 133 HOLIDAY CT STE 102
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City | FRANKLIN
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State | TN
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Zip | 37067-1386
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Country | US
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Telephone | 629-257-8260
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF MANAGED CARE
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Name | ALICIA NEAL
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Credential |
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Telephone | 629-257-8260
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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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