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General NPI Number Information
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NPI Number | 1043104821
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Entity Type | Organization
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Legal Business Name | CARDINAL REHAB
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 2637 TUSKY VALLEY RD NE
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City | ZOARVILLE
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State | OH
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Zip | 44656-9692
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Country | US
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Telephone | 330-866-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 24 HILLSIDE DR
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City | MILLERSBURG
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State | OH
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Zip | 44654-1464
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Country | US
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Telephone | 330-936-3091
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | MRS. ANGELA MARIE WILLARD
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Credential | SLP
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Telephone | 330-936-3091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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