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General NPI Number Information
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NPI Number | 1548523376
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Entity Type | Organization
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Legal Business Name | E & R ENTERPRISES, P.L.L.C.
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 10/14/2021
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Provider Practice Location Address
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Address Line | 3217 SUMMIT SQUARE PL SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40509-2641
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Country | US
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Telephone | 859-263-8080
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Fax | 859-263-8775
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Provider Business Mailing Address
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Address Line | 175 W LOWRY LN STE 112
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City | LEXINGTON
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State | KY
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Zip | 40503-3012
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Country | US
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Telephone | 185-926-3808
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Fax | 859-263-8775
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD KEITH PAVKOVICH
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Credential | PT, DPT
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Telephone | 859-619-5808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT005087
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License Number State | KY
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