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General NPI Number Information
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NPI Number | 1679114987
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Entity Type | Organization
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Legal Business Name | A.C.T.S THERAPY SERVICES
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 4806 COX WOODS CT
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City | LOUISVILLE
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State | KY
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Zip | 40229-2889
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Country | US
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Telephone | 502-533-2089
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Fax |
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Provider Business Mailing Address
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Address Line | 4806 COX WOODS CT
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City | LOUISVILLE
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State | KY
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Zip | 40229-2889
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Country | US
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Telephone | 502-533-2089
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SHANNON MAJOR
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Credential | MS, OTL/R
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Telephone | 502-533-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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