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General NPI Number Information
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NPI Number | 1427311356
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Entity Type | Organization
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Legal Business Name | KINDRED HOSPITALS EAST, LLC
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 615 S NEW BALLAS RD 7TH FLOOR
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City | SAINT LOUIS
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State | MO
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Zip | 63141-8221
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Country | US
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Telephone | 314-567-4626
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Fax | 314-567-4463
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Provider Business Mailing Address
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Address Line | 680 S 4TH ST KL-5 REIMBURSEMENT
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City | LOUISVILLE
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State | KY
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Zip | 40202-2407
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Country | US
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Telephone | 502-596-7220
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Fax | 502-596-4134
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MARILYN A. WEAVER
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Credential |
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Telephone | 502-596-7563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282E00000X
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Taxonomy Name | Long Term Care Hospital
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License Number |
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License Number State |
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