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NPI 1679401186

NPI 1679401186 : PARADIGM REHAB SERVICES, LLC : DEXTER, MO

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General NPI Number Information
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    NPI Number           |    1679401186
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    Entity Type          |    Organization 
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    Legal Business Name  |    PARADIGM REHAB SERVICES, LLC 
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Dates
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    Enumeration Date     |    05/13/2026
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    Last Update Date     |    05/13/2026
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Provider Practice Location Address
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    Address Line         |    300 N WALNUT ST 
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    City                 |    DEXTER
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    State                |    MO
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    Zip                  |    63841-1748
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    Country              |    US
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    Telephone            |    573-614-7472
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    Fax                  |    833-471-3364
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Provider Business Mailing Address
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    Address Line         |    300 N WALNUT ST 
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    City                 |    DEXTER
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    State                |    MO
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    Zip                  |    63841-1748
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    Country              |    US
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    Telephone            |    573-614-7472
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    Fax                  |    833-471-3364
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MR. BEN  SELLS 
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    Credential           |    
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    Telephone            |    573-614-7472
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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