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General NPI Number Information
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NPI Number | 1982865556
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Entity Type | Organization
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Legal Business Name | SPALDING UNIVERSITY
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Dates
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Enumeration Date | 06/17/2008
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 812 S 2ND ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2210
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Country | US
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Telephone | 502-873-4223
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Fax | 502-333-9743
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Provider Business Mailing Address
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Address Line | 845 S 3RD ST
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City | LOUISVILLE
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State | KY
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Zip | 40203-2213
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Country | US
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Telephone | 502-873-4219
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Fax | 502-585-7149
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. TORI MURDEN MCCLURE
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Credential | JD,
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Telephone | 502-588-7164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 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 | KY
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 101189
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 101189
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License Number State | KY
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