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General NPI Number Information
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NPI Number | 1285957555
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Entity Type | Organization
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Legal Business Name | ADVANCED NEUROLOGIC ASSOCIATES, INC
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Dates
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Enumeration Date | 03/01/2010
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Last Update Date | 03/01/2010
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Provider Practice Location Address
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Address Line | 5433 STATE ROUTE 113
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City | BELLEVUE
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State | OH
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Zip | 44811-9708
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Country | US
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Telephone | 419-483-2403
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Fax | 419-484-1203
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Provider Business Mailing Address
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Address Line | 5433 STATE ROUTE 113
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City | BELLEVUE
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State | OH
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Zip | 44811-9708
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Country | US
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Telephone | 419-483-2403
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Fax | 419-484-1203
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Authorized Official
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Title or Position | BUSINESS OFFICE DIRECTOR
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Name | ROBBIN FRANTZ
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Credential |
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Telephone | 419-483-2403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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