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General NPI Number Information
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NPI Number | 1336239516
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Entity Type | Individual
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Provider Name | MICHAEL ROBERT HRIBAR MICHAEL HRIBAR
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Gender | Male
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 34351 CHARDON RD. STE. E
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City | WILLOUGHBY HILLS
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State | OH
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Zip | 44094
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Country | US
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Telephone | 216-990-1904
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 WEST MAIN STREET
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City | LEBANON
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State | TN
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Zip | 37087
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Country | US
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Telephone | 216-990-1904
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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 | 7579
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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 | 9103
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License Number State | TN
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