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General NPI Number Information
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NPI Number | 1811312788
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Entity Type | Organization
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Legal Business Name | CARDINAL HEALTH CARE AND REHABILITATION CENTER, INC
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Dates
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Enumeration Date | 02/28/2014
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Last Update Date | 09/17/2021
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Provider Practice Location Address
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Address Line | 3101 BRECKENRIDGE LN STE 2A
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City | LOUISVILLE
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State | KY
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Zip | 40220-2742
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Country | US
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Telephone | 502-454-0000
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Fax | 502-454-6002
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Provider Business Mailing Address
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Address Line | 3101 BRECKENRIDGE LN STE 2A
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City | LOUISVILLE
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State | KY
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Zip | 40220-2742
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Country | US
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Telephone | 502-454-0000
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Fax | 502-454-6002
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Authorized Official
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Title or Position | MANAGER
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Name | LISA LORENZO
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Credential |
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Telephone | 502-269-9772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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