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General NPI Number Information
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NPI Number | 1003131368
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Entity Type | Organization
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Legal Business Name | WILLOUGHBY THERAPY INC
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Dates
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Enumeration Date | 03/30/2010
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Last Update Date | 08/02/2012
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Provider Practice Location Address
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Address Line | 30841 EUCLID AVE SUITE 202
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City | WILLOUGHBY
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State | OH
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Zip | 44094-3100
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Country | US
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Telephone | 440-944-5050
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Fax | 440-944-5250
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Provider Business Mailing Address
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Address Line | 30841 EUCLID AVE SUITE 202
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City | WILLOUGHBY
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State | OH
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Zip | 44094-3100
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Country | US
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Telephone | 440-944-5050
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Fax | 440-944-5250
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUZANNE BENI
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Credential |
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Telephone | 440-944-5050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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