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General NPI Number Information
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NPI Number | 1699718742
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Entity Type | Individual
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Provider Name | ELIZABETH A ROTH PT
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Gender | Female
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1 PARK WEST BLVD SUITE 320
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City | AKRON
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State | OH
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Zip | 44320-4218
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Country | US
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Telephone | 330-668-4080
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Fax | 330-665-1830
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Provider Business Mailing Address
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Address Line | 7536 VALERIE LANE
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City | HUDSON
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State | OH
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Zip | 44236
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Country | US
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Telephone | 330-653-8488
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT007279
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License Number State | OH
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