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General NPI Number Information
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NPI Number | 1912324591
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Entity Type | Organization
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Legal Business Name | CENTER FOR COMPREHENSIVE SERVICES, INC.
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Dates
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Enumeration Date | 03/21/2014
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Last Update Date | 03/21/2014
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Provider Practice Location Address
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Address Line | 103 WINDSOR PATH WAY
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City | GEORGETOWN
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State | KY
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Zip | 40324
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Country | US
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Telephone | 502-863-3870
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Fax | 502-863-6918
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Provider Business Mailing Address
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Address Line | 103 WINDSOR PATH WAY
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City | GEORGETOWN
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State | KY
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Zip | 40324
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Country | US
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Telephone | 502-863-3870
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Fax | 502-863-6918
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Authorized Official
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Title or Position | FINANCE BUSINESS DIRECTOR
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Name | SERGIO P CRUZ
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Credential |
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Telephone | 617-790-4972
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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