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General NPI Number Information
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NPI Number | 1760605703
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Entity Type | Organization
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Legal Business Name | REHABCARE GROUP EAST INC.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/07/2007
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Provider Practice Location Address
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Address Line | 2210 ROBINSON AVE
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City | CONWAY
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State | AR
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Zip | 72034-4943
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Country | US
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Telephone | 501-932-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 7733 FORSYTH BLVD SUITE 2300
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City | SAINT LOUIS
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State | MO
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Zip | 63105-1817
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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 | EVP
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Name | PATRICIA HENRY
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Credential |
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Telephone | 800-677-1202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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