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General NPI Number Information
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NPI Number | 1508101411
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Entity Type | Individual
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Provider Name | LISA KAY OSWALD PT
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Gender | Female
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 6500 ROCKSIDE RD SUITE #240
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City | INDEPENDENCE
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State | OH
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Zip | 44131-2368
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Country | US
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Telephone | 216-986-1731
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Fax |
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Provider Business Mailing Address
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Address Line | 1857 20TH ST
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City | CUYAHOGA FALLS
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State | OH
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Zip | 44223-1847
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Country | US
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Telephone | 330-618-1210
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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 | 004247
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License Number State | OH
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