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General NPI Number Information
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NPI Number | 1700844230
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Entity Type | Individual
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Provider Name | JONATHAN PAUL STRYCHASZ P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 12/11/2016
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Provider Practice Location Address
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Address Line | 25757 LORAIN RD
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City | NORTH OLMSTED
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State | OH
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Zip | 44070-3370
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Country | US
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Telephone | 440-639-2229
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Fax | 440-639-2264
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Provider Business Mailing Address
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Address Line | 5321 ARBOR CT
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City | INDEPENDENCE
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State | OH
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Zip | 44131-4681
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Country | US
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Telephone | 216-986-1972
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Fax | 216-485-7864
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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 | PT.08441
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License Number State | OH
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