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General NPI Number Information
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NPI Number | 1184800377
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Entity Type | Individual
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Provider Name | LISA A LOFTUS PTA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 7235 WHIPPLE AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7137
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Country | US
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Telephone | 330-418-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 603 MCKINNON AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-1717
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Country | US
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Telephone | 330-385-3048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA.01322
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License Number State | OH
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