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General NPI Number Information
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NPI Number | 1578567335
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Entity Type | Organization
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Legal Business Name | WESTERN RESERVE THERAPISTS, INC.
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 12/11/2008
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Provider Practice Location Address
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Address Line | 54 PHILOMETHIAN ST REAR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-2926
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Country | US
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Telephone | 440-247-2476
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Fax | 440-247-5278
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Provider Business Mailing Address
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Address Line | 54 PHILOMETHIAN ST REAR REAR
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City | CHAGRIN FALLS
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State | OH
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Zip | 44022-2926
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Country | US
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Telephone | 440-247-2476
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Fax | 440-247-5278
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JAMES T. MAIER
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Credential | P.T., M.S.
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Telephone | 440-247-2476
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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 | PT01368
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License Number State | OH
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