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General NPI Number Information
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NPI Number | 1710488002
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Entity Type | Organization
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Legal Business Name | ZENITH REHABILITATION, LLC
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Dates
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Enumeration Date | 02/22/2018
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 14500 E 42ND ST S STE 240
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City | INDEPENDENCE
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State | MO
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Zip | 64055
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Country | US
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Telephone | 816-200-9266
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Fax |
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Provider Business Mailing Address
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Address Line | 14500 E 42ND ST S STE 220
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City | INDEPENDENCE
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State | MO
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Zip | 64055-4700
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Country | US
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Telephone | 816-478-7800
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Fax |
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Authorized Official
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Title or Position | OWNER, OCCUPATIONAL THERAPIST
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Name | RHONDA MATTSON
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Credential | MOTR/L, CHT
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Telephone | 816-478-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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