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General NPI Number Information
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NPI Number | 1073508909
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Entity Type | Organization
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Legal Business Name | RESTORATIVE HEALTH SYSTEMS,INC.
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Dates
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Enumeration Date | 09/16/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2241 LAKE AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-3437
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Country | US
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Telephone | 440-998-0033
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Fax | 440-998-0091
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Provider Business Mailing Address
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Address Line | 2241 LAKE AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-3437
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Country | US
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Telephone | 440-998-0033
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Fax | 440-998-0091
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RANDALL WILBERT SCHIFF
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Credential | PT., A.T.,C.
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Telephone | 440-998-0033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | OHIO 4118
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License Number State | OH
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