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General NPI Number Information
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NPI Number | 1710159306
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Entity Type | Organization
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Legal Business Name | COMPLETE HAND THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 12/19/2008
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Provider Practice Location Address
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Address Line | 11622 CHENOWETH HILLS PL
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City | LOUISVILLE
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State | KY
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Zip | 40299-5848
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Country | US
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Telephone | 502-297-0385
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Fax | 502-297-0385
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Provider Business Mailing Address
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Address Line | 11622 CHENOWETH HILLS PLACE
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City | LOUISVILLE
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State | KY
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Zip | 40299
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Country | US
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Telephone | 502-297-0385
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Fax | 502-297-0385
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MRS. MELISSA WALTERS PIERIE
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Credential | OTR/L, CHT
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Telephone | 502-297-0385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | RO497
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License Number State | KY
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