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General NPI Number Information
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NPI Number | 1356707244
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Entity Type | Organization
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Legal Business Name | LOUISVILLE PM&R PLLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 12/07/2021
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Provider Practice Location Address
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Address Line | 4120 WOODED ACRE LN
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City | LOUISVILLE
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State | KY
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Zip | 40245-2938
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Country | US
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Telephone | 502-963-1905
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22306
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City | LOUISVILLE
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State | KY
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Zip | 40252-0306
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Country | US
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Telephone | 502-963-1905
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN L SWINT
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Credential | MD
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Telephone | 502-472-7089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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