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General NPI Number Information
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NPI Number | 1366808875
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Entity Type | Organization
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Legal Business Name | INFINITY CENTER-FRANKFORT LLC
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Dates
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Enumeration Date | 01/13/2016
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Last Update Date | 02/12/2019
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Provider Practice Location Address
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Address Line | 83 C MICHAEL DAVENPORT BLVD SUITE C
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City | FRANKFORT
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State | KY
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Zip | 40601-4418
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Country | US
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Telephone | 502-352-2300
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Fax | 502-352-2302
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Provider Business Mailing Address
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Address Line | PO BOX 4307
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City | FRANKFORT
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State | KY
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Zip | 40604-4307
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Country | US
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Telephone | 502-352-2300
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Fax | 502-352-2302
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MR. ROBERT LEE PREWITT
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Credential |
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Telephone | 502-352-2300
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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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