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General NPI Number Information
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NPI Number | 1861962581
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Entity Type | Organization
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Legal Business Name | NEXT PT GROUP KENTUCKY, LLC
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Dates
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Enumeration Date | 11/26/2018
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 2400 ARNOLD PALMER BLVD
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City | LOUISVILLE
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State | KY
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Zip | 40245-4215
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Country | US
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Telephone | 502-694-3740
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Fax |
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Provider Business Mailing Address
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Address Line | 1379 PLAYERS CLUB CIR
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City | GULF BREEZE
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State | FL
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Zip | 32563-3521
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Country | US
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Telephone | 850-480-7952
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KEVIN P. KRUEGER
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Credential |
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Telephone | 850-380-4657
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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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