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General NPI Number Information
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NPI Number | 1154985687
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Entity Type | Organization
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Legal Business Name | PARAGON PHYSICAL MEDICINE & WELLNESS
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 242 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1246
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Country | US
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Telephone | 330-345-4440
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Fax |
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Provider Business Mailing Address
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Address Line | 242 E MILLTOWN RD
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City | WOOSTER
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State | OH
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Zip | 44691-1246
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Country | US
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Telephone | 330-345-4440
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRYCE CHAFFEE
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Credential |
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Telephone | 330-345-4440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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