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General NPI Number Information
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NPI Number | 1528595873
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Entity Type | Organization
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Legal Business Name | KENTUCKY INJURY & REHAB LLC
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Dates
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Enumeration Date | 05/17/2017
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Last Update Date | 06/06/2019
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Provider Practice Location Address
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Address Line | 5120 DIXIE HWY SUITE 106
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City | LOUISVILLE
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State | KY
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Zip | 40216
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Country | US
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Telephone | 502-447-9554
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Fax | 502-690-7866
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Provider Business Mailing Address
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Address Line | 5120 DIXIE HWY SUITE 106
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City | LOUISVILLE
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State | KY
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Zip | 40216
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Country | US
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Telephone | 502-447-9554
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Fax | 502-690-7866
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Authorized Official
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Title or Position | OWNER
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Name | MR. NEIL LANGSCHIED
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Credential | DC
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Telephone | 502-447-9554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | KY
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