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General NPI Number Information
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NPI Number | 1164545364
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Entity Type | Organization
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Legal Business Name | HOME REHABILITATION AND CONSULTANT SERVICES, PC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 902 NW 750TH RD
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City | CENTERVIEW
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State | MO
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Zip | 64019-9128
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Country | US
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Telephone | 816-230-1590
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Fax |
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Provider Business Mailing Address
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Address Line | 902 NW 750TH RD
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City | CENTERVIEW
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State | MO
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Zip | 64019-9128
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Country | US
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Telephone | 816-230-1590
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Fax |
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | LAURIE A. ROSE
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Credential | MSED, PT
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Telephone | 816-517-6648
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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 | R1367
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License Number State | MO
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