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General NPI Number Information
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NPI Number | 1265519136
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Entity Type | Individual
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Provider Name | RANDALL WILBERT SCHIFF PT./ ATC.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2241 LAKE AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-3437
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Country | US
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Telephone | 440-998-0033
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Fax | 440-998-0091
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Provider Business Mailing Address
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Address Line | 965 W MORGAN RD
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City | JEFFERSON
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State | OH
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Zip | 44047-8131
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Country | US
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Telephone | 440-992-8185
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 4118
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License Number State | OH
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