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General NPI Number Information
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NPI Number | 1811775877
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Entity Type | Organization
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Legal Business Name | PREFERRED PT, LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 10951 LAKEVIEW AVENUE CLINIC D
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City | LENEXA
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State | KS
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Zip | 66219
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Country | US
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Telephone | 913-218-1222
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 LYNDON FARM CT STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40223-5005
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Country | US
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Telephone | 316-263-0003
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAREN E WILSON
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Credential |
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Telephone | 316-263-0003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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