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General NPI Number Information
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NPI Number | 1497281489
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Entity Type | Organization
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Legal Business Name | LANDMARK REHABILITATION HOSPITAL OF COLUMBIA, LLC
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 604 OLD HIGHWAY 63 N
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City | COLUMBIA
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State | MO
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Zip | 65201-6308
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Country | US
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Telephone | 573-499-6600
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Fax | 573-499-6650
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Provider Business Mailing Address
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Address Line | 604 OLD HIGHWAY 63 N
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City | COLUMBIA
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State | MO
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Zip | 65201-6308
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Country | US
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Telephone | 573-499-6600
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Fax | 573-499-6650
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Authorized Official
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Title or Position | CORPORATE CEO
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Name | SHAWN STRASH
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Credential |
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Telephone | 602-320-7154
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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