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General NPI Number Information
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NPI Number | 1336966852
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Entity Type | Organization
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Legal Business Name | PREFERRED PT LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 12728 STATE LINE RD
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City | LEAWOOD
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State | KS
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Zip | 66209-1619
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Country | US
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Telephone | 910-798-2318
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Fax | 910-798-2319
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone | 812-759-7451
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Fax | 812-590-8333
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Authorized Official
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Title or Position | CEO
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Name | KAREN E WILSON
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Credential |
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Telephone | 316-263-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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