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General NPI Number Information
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NPI Number | 1306025572
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Entity Type | Organization
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Legal Business Name | A S REHAB, INC
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Dates
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Enumeration Date | 10/24/2007
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 8630 WASHINGTON CHURCH RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-3795
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Country | US
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Telephone | 937-298-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 E DOROTHY LN
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City | KETTERING
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State | OH
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Zip | 45419-2106
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | WARREN D GANZSARTO
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Credential |
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Telephone | 937-298-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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