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General NPI Number Information
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NPI Number | 1811276462
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Entity Type | Organization
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Legal Business Name | REHABCARE KINDRED
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Dates
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Enumeration Date | 08/15/2011
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Last Update Date | 08/15/2011
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Provider Practice Location Address
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Address Line | 701 WINDERMERE DR
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City | COLUMBIA
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State | MO
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Zip | 65203-6424
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Country | US
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Telephone | 157-367-3321
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Fax |
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Provider Business Mailing Address
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Address Line | 701 WINDERMERE DR
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City | COLUMBIA
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State | MO
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Zip | 65203-6424
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Country | US
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Telephone | 157-367-3321
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Fax |
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Authorized Official
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Title or Position | SR. PROGRAM DIRECTOR
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Name | MRS. JULIE L HULSEY
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Credential |
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Telephone | 13148733280
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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 | OC 004071
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License Number State | MO
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