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General NPI Number Information
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NPI Number | 1184253148
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Entity Type | Organization
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Legal Business Name | YOUNGSTOWN PHYSICAL REHABILITATION
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Dates
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Enumeration Date | 04/02/2020
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 5815 MARKET ST STE 6
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City | BOARDMAN
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State | OH
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Zip | 44512-2915
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Country | US
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Telephone | 330-259-9575
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Fax | 330-259-9576
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Provider Business Mailing Address
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Address Line | 5815 MARKET ST STE 6
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City | BOARDMAN
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State | OH
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Zip | 44512-2915
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Country | US
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Telephone | 330-259-9575
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Fax | 330-259-9576
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Authorized Official
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Title or Position | DOCTOR OF CHIROPRACTIC
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Name | DR. ERIC J UBRIN
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Credential | DC
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Telephone | 330-259-9575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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