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General NPI Number Information
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NPI Number | 1306222195
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Entity Type | Organization
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Legal Business Name | REHAB CARE GROUP EAST INC
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 1711 N 4TH ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-1607
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Country | US
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Telephone | 620-442-8700
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Fax |
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Provider Business Mailing Address
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Address Line | 312 1/2 S 1ST ST
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City | ARKANSAS CITY
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State | KS
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Zip | 67005-2830
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Country | US
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Telephone | 801-668-6411
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Fax |
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Authorized Official
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Title or Position | PRIMARY CREDENTIAL CONTACT
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Name | STACI JONES
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Credential |
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Telephone | 314-659-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11-04992
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License Number State | KS
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