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General NPI Number Information
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NPI Number | 1245122563
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Entity Type | Organization
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Legal Business Name | REC AND ROLL
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Dates
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Enumeration Date | 07/21/2025
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 4679 MAPLELAWN DR
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City | COLUMBUS
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State | IN
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Zip | 47203-4768
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Country | US
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Telephone | 812-543-3473
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Fax |
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Provider Business Mailing Address
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Address Line | 4679 MAPLELAWN DR
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City | COLUMBUS
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State | IN
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Zip | 47203-4768
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Country | US
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Telephone | 812-543-3473
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNA OSBORN
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Credential |
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Telephone | 812-543-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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