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General NPI Number Information
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NPI Number | 1487966032
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Entity Type | Organization
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Legal Business Name | SOMERSET REHAB SERVICES, INC.
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Dates
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Enumeration Date | 07/12/2010
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 129 PARK AVE SUITE A
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City | SOMERSET
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State | KY
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Zip | 42501-1785
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Country | US
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Telephone | 606-677-1166
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Fax | 606-677-0693
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Provider Business Mailing Address
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Address Line | 129 PARK AVE SUITE A
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City | SOMERSET
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State | KY
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Zip | 42501-1785
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Country | US
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Telephone | 606-677-1166
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Fax | 606-677-0693
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER LOCKARD
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Credential | OTR/L
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Telephone | 606-875-5270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | R3259
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License Number State | KY
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