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General NPI Number Information
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NPI Number | 1467978031
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Entity Type | Organization
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Legal Business Name | SPINEFIRST HEALTH AND REHAB
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 08/16/2017
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Provider Practice Location Address
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Address Line | 7720 RIVERS EDGE DR STE 101
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City | COLUMBUS
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State | OH
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Zip | 43235-1361
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Country | US
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Telephone | 614-505-6339
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Fax |
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Provider Business Mailing Address
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Address Line | 3322 WINDY FOREST LN
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City | POWELL
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State | OH
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Zip | 43065-7382
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Country | US
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Telephone | 614-505-6339
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE MARIE URBANSKI
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Credential | RN
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Telephone | 614-505-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 07344
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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 | 013541
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License Number State | OH
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