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General NPI Number Information
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NPI Number | 1104670389
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Entity Type | Organization
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Legal Business Name | ON CALL THERAPY LLC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 4052 WILMINGTON PIKE
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City | DAYTON
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State | OH
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Zip | 45440-1604
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Country | US
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Telephone | 372-400-3699
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Fax | 937-405-1715
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Provider Business Mailing Address
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Address Line | 4052 WILMINGTON PIKE
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City | DAYTON
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State | OH
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Zip | 45440-1604
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Country | US
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Telephone | 937-240-0369
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Fax | 937-405-1715
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Authorized Official
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Title or Position | OWNER
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Name | JOYCE M IDLE
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Credential |
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Telephone | 937-684-6419
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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 |
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License Number State |
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