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General NPI Number Information
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NPI Number | 1306083704
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Entity Type | Individual
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Provider Name | ABY E CHISMAR DPT
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Gender | Female
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 04/17/2015
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Provider Practice Location Address
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Address Line | 277 BOARDMAN CANFIELD RD
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City | BOARDMAN
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State | OH
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Zip | 44512-4806
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Country | US
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Telephone | 330-726-9671
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Fax | 330-726-4232
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Provider Business Mailing Address
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Address Line | 277 BOARDMAN CANFIELD RD
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City | BOARDMAN
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State | OH
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Zip | 44512-4806
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Country | US
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Telephone | 330-726-9671
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Fax | 330-726-4232
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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 | 011866
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License Number State | OH
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