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General NPI Number Information
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NPI Number | 1700797495
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Entity Type | Organization
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Legal Business Name | SOLID FOUNDATIONS LLC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 8800 BLUE LICK RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-4956
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Country | US
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Telephone | 502-953-7844
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Fax |
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Provider Business Mailing Address
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Address Line | 8800 BLUE LICK RD
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City | LOUISVILLE
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State | KY
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Zip | 40219-4956
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Country | US
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Telephone | 502-953-7844
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANDREA DATTILO
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Credential | APSS
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Telephone | 502-551-6001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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