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General NPI Number Information
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NPI Number | 1023970332
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Entity Type | Organization
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Legal Business Name | CANCER REHAB GROUP
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 5594 E 146TH ST STE 205
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7070
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Country | US
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Telephone | 844-656-4200
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Fax | 219-218-0782
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Provider Business Mailing Address
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Address Line | 5594 E 146TH ST STE 205
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City | NOBLESVILLE
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State | IN
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Zip | 46062-7070
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Country | US
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Telephone | 844-656-4200
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Fax | 219-218-0782
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | SARAH BLOUNT
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Credential | DPT
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Telephone | 844-656-4200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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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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