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General NPI Number Information
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NPI Number | 1457304123
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Entity Type | Organization
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Legal Business Name | H2 REHABILITATION SERVICES OF KENTUCKY, LLC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 116 MERIDIAN WAY STE 9
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City | RICHMOND
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State | KY
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Zip | 40475-2876
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Country | US
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Telephone | 859-623-6334
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Fax | 859-623-6336
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Provider Business Mailing Address
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Address Line | PO BOX 932184
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City | ATLANTA
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State | GA
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Zip | 31193-4912
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | AMANDA STREETER
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Credential |
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Telephone | 800-699-9395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 100870
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License Number State | KY
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