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General NPI Number Information
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NPI Number | 1528874328
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Entity Type | Organization
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Legal Business Name | AT HOME BY ENHANCE THERAPIES
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 6099 RIVERSIDE DR STE 207
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City | DUBLIN
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State | OH
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Zip | 43017-2004
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Country | US
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Telephone | 614-271-2625
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Fax |
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Provider Business Mailing Address
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Address Line | 6099 RIVERSIDE DR STE 207
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City | DUBLIN
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State | OH
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Zip | 43017-2004
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Country | US
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Telephone | 614-271-2625
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Fax |
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Authorized Official
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Title or Position | PTA
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Name | MARISA PERRY
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Credential |
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Telephone | 614-439-0256
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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 |
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License Number State |
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