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General NPI Number Information
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NPI Number | 1740234806
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Entity Type | Organization
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Legal Business Name | OHIO REHAB CENTER II, INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 6651 FRANK AVE NW
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City | NORTH CANTON
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State | OH
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Zip | 44720-7259
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Country | US
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Telephone | 330-498-9865
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 26125
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City | AKRON
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State | OH
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Zip | 44319-6125
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Country | US
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Telephone | 330-493-0840
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Fax |
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Authorized Official
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Title or Position | CLIENT REPRESENTATIVE
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Name | BO SPENCER
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Credential |
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Telephone | 330-493-9004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine
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License Number |
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License Number State |
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