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General NPI Number Information
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NPI Number | 1477961209
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Entity Type | Organization
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Legal Business Name | FABREHAB SERVICES, LLC
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Dates
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Enumeration Date | 07/24/2014
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 676 MIAMI ST
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City | TIFFIN
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State | OH
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Zip | 44883-1934
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Country | US
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Telephone | 419-448-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 407 E AUGLAIZE ST
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City | WAPAKONETA
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State | OH
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Zip | 45895-1607
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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 | PTA
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Name | MR. JARRET R WEBB
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Credential | PTA
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Telephone | 419-230-0584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 07630
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License Number State | OH
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