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General NPI Number Information
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NPI Number | 1023691664
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Entity Type | Organization
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Legal Business Name | VITAL FORCE PHYSIO LLC
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Dates
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Enumeration Date | 05/02/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 69 W FOSTER-MAINEVILLE RD
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City | MAINEVILLE
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State | OH
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Zip | 45039
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Country | US
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Telephone | 614-395-9168
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Fax |
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Provider Business Mailing Address
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Address Line | 2736 SHADY LOCUST TRL
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City | LOVELAND
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State | OH
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Zip | 45140-3404
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Country | US
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Telephone | 614-395-9168
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRYAN VRANIC
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Credential | PT, DPT
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Telephone | 614-395-9168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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