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General NPI Number Information
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NPI Number | 1588464523
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Entity Type | Organization
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Legal Business Name | THE HEALING COTTAGE
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 4105 BANK ST
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City | LOUISVILLE
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State | KY
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Zip | 40212-2913
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Country | US
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Telephone | 502-221-1075
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 472
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City | GOSHEN
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State | KY
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Zip | 40026-0472
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Country | US
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Telephone | 550-221-1075
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DION WASHINGTION
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Credential |
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Telephone | 502-221-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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