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General NPI Number Information
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NPI Number | 1326647165
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Entity Type | Organization
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Legal Business Name | EMA REHABILITATION, LLC
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Dates
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Enumeration Date | 10/22/2020
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Last Update Date | 10/22/2020
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Provider Practice Location Address
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Address Line | 1831 E KANESVILLE BLVD
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City | COUNCIL BLUFFS
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State | IA
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Zip | 51503-4767
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Country | US
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Telephone | 712-322-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 300 HUNTER AVE STE 200
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City | SAINT LOUIS
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State | MO
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Zip | 63124-2328
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Country | US
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Telephone | 636-279-5080
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Fax |
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Authorized Official
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Title or Position | VP OF FINANCE AND OPERATIONS
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Name | DAVID CHURCH
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Credential |
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Telephone | 314-925-0880
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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 |
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License Number State |
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Taxonomy #2
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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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