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General NPI Number Information
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NPI Number | 1750509873
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Entity Type | Organization
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Legal Business Name | REHABCARE
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8101 MISSION RD
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-5238
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Country | US
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Telephone | 913-385-5021
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Fax |
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Provider Business Mailing Address
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Address Line | 12510 W 62ND TER STE 107
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City | SHAWNEE MISSION
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State | KS
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Zip | 66216-1812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | AMY L CULP
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Credential |
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Telephone | 913-631-9108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 11-00655
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License Number State | KS
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