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General NPI Number Information
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NPI Number | 1730970641
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Entity Type | Organization
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Legal Business Name | REBOUND ORTHOPAEDICS SPORTS MEDICINE
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 101 MEDICAL HEIGHTS DR STE F
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City | FRANKFORT
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State | KY
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Zip | 40601-4137
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Country | US
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Telephone | 502-223-5641
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MEDICAL HEIGHTS DR STE F
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City | FRANKFORT
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State | KY
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Zip | 40601-4137
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING DIRECTOR
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Name | DEVON R BAKER
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Credential |
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Telephone | 502-320-1210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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