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General NPI Number Information
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NPI Number | 1164650149
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Entity Type | Organization
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Legal Business Name | NBJ OUTPATIENT THERAPY LLC
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 01/29/2018
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Provider Practice Location Address
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Address Line | 13280 ECHO DELL RD
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9724
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Country | US
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Telephone | 330-385-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 13280 ECHO DELL RD
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9724
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Country | US
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Telephone | 330-385-2211
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENEE HALFHILL
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Credential | PT
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Telephone | 330-702-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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