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General NPI Number Information
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NPI Number | 1336657063
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Entity Type | Organization
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Legal Business Name | HYPERBARIC THERAPY OF BROOK PARK
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 15900 SNOW RD STE 600
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City | BROOKPARK
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State | OH
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Zip | 44142-2861
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Country | US
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Telephone | 614-407-4268
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Fax | 614-793-8431
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Provider Business Mailing Address
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Address Line | 4977 DUNKERRIN CT
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City | DUBLIN
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State | OH
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Zip | 43017-8900
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Country | US
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Telephone | 614-407-4268
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Fax | 614-793-8431
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Authorized Official
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Title or Position | CLINIC COORDINATOR
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Name | MR. CHRIS DODSON
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Credential |
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Telephone | 614-407-4268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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