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General NPI Number Information
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NPI Number | 1588454631
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Entity Type | Organization
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Legal Business Name | ST LOUIS RECOVERY HOSPITAL LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3933 S BROADWAY
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City | SAINT LOUIS
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State | MO
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Zip | 63118-4601
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Country | US
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Telephone | 732-714-5551
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Fax |
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Provider Business Mailing Address
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Address Line | 850 TOWBIN AVE
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5928
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Country | US
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Telephone | 732-714-5551
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BEN LEVIN
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Credential |
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Telephone | 732-714-5551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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