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General NPI Number Information
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NPI Number | 1750247961
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Entity Type | Organization
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Legal Business Name | AJ CORE THERAPY
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Dates
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Enumeration Date | 12/31/2025
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 310 RICHMOND ST
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City | MOUNT VERNON
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State | KY
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Zip | 40456-2709
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Country | US
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Telephone | 606-256-3332
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Fax | 606-256-3334
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | MOUNT VERNON
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State | KY
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Zip | 40456-0011
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Country | US
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Telephone | 606-256-3332
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Fax | 606-256-3334
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | APRIL L BUSSELL
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Credential | OTR/L
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Telephone | 606-256-3332
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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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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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