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General NPI Number Information
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NPI Number | 1780123463
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Entity Type | Organization
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Legal Business Name | PBM FRANCHISE GROUP LLC
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Dates
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Enumeration Date | 02/15/2017
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Last Update Date | 02/15/2017
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Provider Practice Location Address
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Address Line | 10610 WATTERSON CENTER CT SUITE 202
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City | LOUISVILLE
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State | KY
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Zip | 40299-2509
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Country | US
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Telephone | 502-442-2480
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Fax | 502-442-2490
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Provider Business Mailing Address
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Address Line | 10610 WATTERSON CENTER CT SUITE 202
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City | LOUISVILLE
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State | KY
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Zip | 40299-2509
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Country | US
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Telephone | 502-442-2480
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Fax | 502-442-2490
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Authorized Official
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Title or Position | MEMBER
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Name | AARON PRICE
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Credential |
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Telephone | 502-523-0192
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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