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General NPI Number Information
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NPI Number | 1316006661
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Entity Type | Organization
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Legal Business Name | DHSC LLC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 04/25/2016
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Provider Practice Location Address
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Address Line | 875 8TH ST NE
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City | MASSILLON
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State | OH
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Zip | 44646-8503
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Country | US
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Telephone | 330-832-8761
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Fax | 330-832-6871
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Provider Business Mailing Address
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Address Line | PO BOX 10390
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City | FORT WAYNE
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State | IN
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Zip | 46852-0390
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Country | US
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Telephone | 330-832-8761
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Fax | 330-832-6840
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | TARA P RICHARDSON
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Credential |
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Telephone | 615-221-3672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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