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General NPI Number Information
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NPI Number | 1699610121
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Entity Type | Organization
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Legal Business Name | RISE AND SHINE LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 3175 CUSTER DR STE 103
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City | LEXINGTON
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State | KY
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Zip | 40517-4023
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Country | US
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Telephone | 207-405-4331
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Fax |
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Provider Business Mailing Address
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Address Line | 3175 CUSTER DR STE 103
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City | LEXINGTON
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State | KY
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Zip | 40517-4023
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Country | US
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Telephone | 207-405-4331
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | ADELE NANTEBUKA GATIMBIRIZO
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Credential | BUSINESS OWNER
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Telephone | 207-405-4331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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