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General NPI Number Information
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NPI Number | 1689860330
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Entity Type | Organization
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Legal Business Name | WOOSTER ORTHOPAEDICS THERAPY
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 3431 COMMERCE PKWY SUITE A
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City | WOOSTER
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State | OH
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Zip | 44691-7114
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Country | US
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Telephone | 330-345-5166
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Fax | 330-345-5042
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Provider Business Mailing Address
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Address Line | 3431 COMMERCE PKWY SUITE A
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City | WOOSTER
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State | OH
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Zip | 44691-7114
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Country | US
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Telephone | 330-345-5166
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Fax | 330-345-5042
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Authorized Official
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Title or Position | BILLING MGR
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Name | DEBBIE HUTTIE
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Credential |
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Telephone | 330-202-3454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT06089
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License Number State | OH
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