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General NPI Number Information
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NPI Number | 1912370644
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Entity Type | Organization
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Legal Business Name | AEGIS THERAPIES, INC.
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Dates
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Enumeration Date | 11/03/2015
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Last Update Date | 02/17/2022
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Provider Practice Location Address
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Address Line | 491 TUCKER DR
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City | MAYSVILLE
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State | KY
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Zip | 41056-9111
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Country | US
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Telephone | 606-759-4005
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Fax | 606-759-0024
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Provider Business Mailing Address
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Address Line | 2601 NETWORK BLVD STE 102
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City | FRISCO
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State | TX
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Zip | 75034-9092
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Country | US
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Telephone | 972-372-6779
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Fax | 479-668-0872
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Authorized Official
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Title or Position | SECRETARY
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Name | HOLLY RASMUSSEN-JONES
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Credential |
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Telephone | 479-201-4835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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