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General NPI Number Information
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NPI Number | 1497547590
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Entity Type | Organization
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Legal Business Name | KIMES NURSING & REHAB, LLC
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 75 KIMES LN
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City | ATHENS
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State | OH
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Zip | 45701-3899
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Country | US
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Telephone | 740-593-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 2121 LOHMANS CROSSING RD STE 504-879
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City | AUSTIN
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State | TX
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Zip | 78734-5217
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Country | US
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Telephone | 254-224-2616
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Fax |
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Authorized Official
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Title or Position | DRCM
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Name | LI BORUCKI PRADO
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Credential |
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Telephone | 254-224-2616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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