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General NPI Number Information
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NPI Number | 1669967881
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Entity Type | Organization
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Legal Business Name | APTIVA HEALTH
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3615 NEWBURG RD
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City | LOUISVILLE
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State | KY
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Zip | 40218-3368
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Country | US
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Telephone | 502-812-1002
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Fax | 855-859-0123
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Provider Business Mailing Address
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Address Line | 12300 PLANTSIDE DR
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City | LOUISVILLE
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State | KY
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Zip | 40299-6345
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Country | US
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Telephone | 502-909-0772
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Fax | 855-859-0123
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | AMANDA LOWE
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Credential |
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Telephone | 502-909-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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