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General NPI Number Information
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NPI Number | 1609572312
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Entity Type | Organization
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Legal Business Name | KINDRED HOSPITAL PALM BEACH LLC
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Dates
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Enumeration Date | 02/03/2023
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 5555 W BLUE HERON BLVD
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City | RIVIERA BEACH
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State | FL
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Zip | 33418-7813
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Country | US
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Telephone | 561-840-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 5555 W BLUE HERON BLVD
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City | RIVIERA BEACH
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State | FL
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Zip | 33418-7813
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 502-596-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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