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General NPI Number Information
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NPI Number | 1679382337
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Entity Type | Organization
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Legal Business Name | ADAPTIVE COMMUNITY SUPPORT SERVICES INC
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 9943 FOREST GREEN BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40223-5123
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Country | US
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Telephone | 502-795-0773
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Fax |
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Provider Business Mailing Address
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Address Line | 3006 EASTPOINT PKWY
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City | LOUISVILLE
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State | KY
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Zip | 40223-4185
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Country | US
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Telephone | 502-795-0773
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, REVENUE CYCLE MANAGEMENT
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Name | JULIA PELKINGTON
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Credential |
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Telephone | 317-746-5391
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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