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General NPI Number Information
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NPI Number | 1114126232
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 07/18/2007
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Last Update Date | 07/18/2007
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Provider Practice Location Address
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Address Line | 10600 LEWIS AND CLARK BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63136-6005
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Country | US
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Telephone | 314-340-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 1982 CATHEDRAL HILL DR
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City | SAINT LOUIS
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State | MO
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Zip | 63138-1520
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Country | US
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Telephone | 314-355-9430
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Fax |
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Authorized Official
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Title or Position | PTA
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Name | MS. PRISCILLA LEE GANT
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Credential | PTA
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Telephone | 314-340-6389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 116873
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License Number State | MO
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