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General NPI Number Information
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NPI Number | 1598095440
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Entity Type | Organization
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Legal Business Name | REHAB CARE
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Dates
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Enumeration Date | 12/27/2009
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Last Update Date | 12/27/2009
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Provider Practice Location Address
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Address Line | 7733 FORSYTH BLVD STE 2300
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1806
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Country | US
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Telephone | 303-989-3118
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Fax |
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Provider Business Mailing Address
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Address Line | 7932 S VALENTIA ST
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City | CENTENNIAL
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State | CO
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Zip | 80112-3302
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Country | US
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Telephone | 303-993-3567
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MS. MARK HEPOLA
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Credential | MA, CCC-SLP
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Telephone | 303-989-3611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 14006529
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License Number State | CO
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