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General NPI Number Information
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NPI Number | 1831442540
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Entity Type | Organization
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Legal Business Name | INVIGORATE REHAB INC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 02/09/2018
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Provider Practice Location Address
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Address Line | 1722 OLIVE ST STE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63103-1700
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Country | US
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Telephone | 517-410-7880
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Fax | 314-261-9222
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Provider Business Mailing Address
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Address Line | 1722 OLIVE ST STE 201
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City | SAINT LOUIS
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State | MO
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Zip | 63103-1700
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Country | US
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Telephone | 517-410-7880
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | DR. HASSAN R JAFRI
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Credential | DPT
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Telephone | 517-410-7880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 070018807
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2012012469
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License Number State | MO
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