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General NPI Number Information
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NPI Number | 1386428993
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Entity Type | Organization
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Legal Business Name | PARAGON OUTPATIENT REHABILITATION SERVICES, LLC
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 158 CHESTNUT GROVE CHURCH RD
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City | SPARTA
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State | NC
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Zip | 28675-9731
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Country | US
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Telephone | 336-429-5934
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 74590
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City | CLEVELAND
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State | OH
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Zip | 44194-0002
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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 | SVP & CHIEF LEGAL OFFICER
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Name | CRISTINA PIETROWSKI
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Credential |
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Telephone | 502-412-5847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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