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General NPI Number Information
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NPI Number | 1437719879
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Entity Type | Organization
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Legal Business Name | REJUVENATING COMPREHENSIVE SERVICES
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Dates
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Enumeration Date | 06/18/2019
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Last Update Date | 05/14/2021
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Provider Practice Location Address
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Address Line | 9231 W FLORISSANT AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63136-1422
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Country | US
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Telephone | 314-279-1444
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Fax | 314-801-8178
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Provider Business Mailing Address
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Address Line | 2100 E FAIR AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63107-1022
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Country | US
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Telephone | 314-504-4706
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Fax | 314-659-8007
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Authorized Official
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Title or Position | THERAPIST
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Name | KEELY FINNEY
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Credential | LCSW
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Telephone | 314-504-4706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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