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NPI 1871560128

NPI 1871560128 : ASSOCIATES IN REHAB PIKEVILLE LLC : PRESTONSBURG, KY

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General NPI Number Information
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    NPI Number           |    1871560128
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    Entity Type          |    Organization 
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    Legal Business Name  |    ASSOCIATES IN REHAB PIKEVILLE LLC 
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Dates
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    Enumeration Date     |    03/07/2006
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    Last Update Date     |    07/14/2021
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Provider Practice Location Address
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    Address Line         |    83 DEWEY ST 
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    City                 |    PRESTONSBURG
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    State                |    KY
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    Zip                  |    41653-7923
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    Country              |    US
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    Telephone            |    606-886-9888
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    Fax                  |    606-886-9416
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2530 
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    City                 |    PIKEVILLE
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    State                |    KY
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    Zip                  |    41502
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    Country              |    US
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    Telephone            |    606-436-6600
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL OPERATIONS ASSISTANT
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    Name                 |    MR. ASHLEIGH N OUSLEY 
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    Credential           |    
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    Telephone            |    606-886-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    002413
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    License Number State |    KY
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