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General NPI Number Information
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NPI Number | 1295966232
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Entity Type | Individual
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Provider Name | ROBERT LOUIS MANGERI DPT
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Gender | Male
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Dates
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Enumeration Date | 08/06/2009
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 8343 CENTER ST
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City | GARRETTSVILLE
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State | OH
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Zip | 44231-9113
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Country | US
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Telephone | 443-624-4329
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Fax |
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Provider Business Mailing Address
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Address Line | 8343 CENTER ST
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City | GARRETTSVILLE
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State | OH
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Zip | 44231-9113
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Country | US
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Telephone | 443-624-4329
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT019815
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT012986
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License Number State | OH
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