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General NPI Number Information
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NPI Number | 1205334521
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Entity Type | Organization
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Legal Business Name | EMPOWERME REHABILITATION MISSOURI LLC
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Dates
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Enumeration Date | 02/01/2018
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 2700 SOMERSET DR
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66206-1173
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Country | US
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Telephone | 844-502-7996
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 736005
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City | DALLAS
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State | TX
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Zip | 75373-6005
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Country | US
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Telephone | 844-502-7996
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Fax | 314-985-5818
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Authorized Official
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Title or Position | VICE PRESIDENT OF FINANCE
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Name | JOHN DAVID CHURCH
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Credential |
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Telephone | 618-972-5228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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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 #4
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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