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General NPI Number Information
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NPI Number | 1861577306
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Entity Type | Organization
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Legal Business Name | KINDRED HOSPITALS EAST, LLC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1516 E LAS OLAS BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2346
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Country | US
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Telephone | 954-764-8900
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Fax | 954-522-1971
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Provider Business Mailing Address
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Address Line | 1516 E LAS OLAS BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33301-2346
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Country | US
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Telephone | 954-764-8900
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Fax | 954-522-1971
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JOHNETTA TRAYLOR
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Credential |
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Telephone | 502-596-6063
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number | 4440
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License Number State | FL
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