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General NPI Number Information
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NPI Number | 1629216684
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Entity Type | Organization
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Legal Business Name | DEFIANCE HOSPITAL, INC.
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Dates
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Enumeration Date | 01/29/2009
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 851 S CLINTON ST ATTEN: CBO
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City | DEFIANCE
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State | OH
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Zip | 43512-2770
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Country | US
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Telephone | 419-824-7576
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Fax | 419-824-3460
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Provider Business Mailing Address
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Address Line | 851 S CLINTON ST ATTEN; CBO
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City | DEFIANCE
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State | OH
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Zip | 43512-2770
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Country | US
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Telephone | 419-824-7576
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Fax | 419-824-3460
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Authorized Official
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Title or Position | SR. VP
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Name | RONALD WACHSMAN
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Credential |
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Telephone | 419-824-7576
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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 | 1160
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License Number State | OH
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