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General NPI Number Information
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NPI Number | 1043166218
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Entity Type | Organization
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Legal Business Name | NEURO RECOVERY INSTITUTE OF OHIO DBA OUTBOUNDERARS CINCINNATI CENTER
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 5250 SOCIALVILLE FOSTER RD
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City | MASON
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State | OH
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Zip | 45040-9302
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Country | US
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Telephone | 513-813-4775
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Fax | 513-572-8657
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Provider Business Mailing Address
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Address Line | 5250 SOCIALVILLE FOSTER RD
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City | MASON
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State | OH
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Zip | 45040-9302
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Country | US
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Telephone | 513-813-4775
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Fax |
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Authorized Official
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Title or Position | NATIONAL DIRECTOR OUTBOUNDERARS CEN
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Name | JAZMIN CARDWELL
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Credential |
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Telephone | 385-258-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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