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General NPI Number Information
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NPI Number | 1821962135
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Entity Type | Organization
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Legal Business Name | PROREHAB LOUISVILLE
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 3831 RUCKRIEGEL PKWY STE 108
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City | JEFFERSONTOWN
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State | KY
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Zip | 40299-4199
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Country | US
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Telephone | 502-537-7720
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Fax | 502-537-7719
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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 |
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Fax |
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Authorized Official
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Title or Position | CHIEF LEGAL & COMPLIANCE OFFICER
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Name | CYNTHIA MCCAULEY
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Credential |
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Telephone | 502-576-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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