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General NPI Number Information
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NPI Number | 1265591457
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL REHABILITATIVE SERVICES,INC.,P.A.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 2040 HUTTON RD
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City | KANSAS CITY
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State | KS
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Zip | 66109-4526
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Country | US
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Telephone | 913-321-8765
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Fax | 913-321-0756
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Provider Business Mailing Address
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Address Line | 400 N 18TH ST
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City | KANSAS CITY
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State | KS
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Zip | 66102-4208
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Country | US
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Telephone | 913-321-8765
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Fax | 913-321-0756
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Authorized Official
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Title or Position | ADMINISTRATIVE MANAGER
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Name | MS. ELIZABETH A VANLEEUWEN
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Credential |
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Telephone | 913-321-8765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State | KS
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