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General NPI Number Information
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NPI Number | 1609113406
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Entity Type | Organization
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Legal Business Name | CARDINAL WELLNESS CENTER
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Dates
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Enumeration Date | 01/14/2013
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 7136 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40219-2722
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Country | US
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Telephone | 502-969-2279
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Fax | 502-969-2161
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Provider Business Mailing Address
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Address Line | 7136 PRESTON HWY
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City | LOUISVILLE
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State | KY
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Zip | 40219-2722
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Country | US
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Telephone | 502-969-2279
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Fax | 502-969-2161
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOSH SALINAS
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Credential |
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Telephone | 305-825-1997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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