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General NPI Number Information
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NPI Number | 1780639690
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Entity Type | Organization
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Legal Business Name | HOME OF THE INNOCENTS
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 04/24/2025
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Provider Practice Location Address
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Address Line | 1100 E MARKET ST.
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City | LOUISVILLE
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State | KY
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Zip | 40206
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Country | US
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Telephone | 502-596-1000
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Fax | 502-596-1413
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Provider Business Mailing Address
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Address Line | 1100 E MARKET ST.
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City | LOUISVILLE
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State | KY
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Zip | 40206
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Country | US
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Telephone | 502-596-1000
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Fax | 502-596-1413
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Authorized Official
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Title or Position | CHIEF FINANCE OFFICIER
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Name | DAVID MCDONALD
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Credential |
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Telephone | 502-596-1039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 101130
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 101130
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License Number State | KY
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Taxonomy #6
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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 #7
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 740143
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 101130
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License Number State | KY
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Taxonomy #11
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Taxonomy Code | 3140N1450X
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Taxonomy Name | Pediatric Skilled Nursing Facility
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License Number | 100493
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License Number State | KY
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Taxonomy #12
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 740143
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License Number State | KY
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