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General NPI Number Information
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NPI Number | 1528496015
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HEALTH & REHABILITATION CENTERS INC
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 144 W HIGH ST
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City | MOUNT GILEAD
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State | OH
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Zip | 43338-1215
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Country | US
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Telephone | 419-947-7500
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1070
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City | DELAWARE
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State | OH
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Zip | 43015-7170
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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 | OWNER
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Name | DARREN HOLSTEN
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Credential |
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Telephone | 419-947-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0800X
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Taxonomy Name | Orthopedic Chiropractor
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License Number | 1665
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License Number State | OH
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