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General NPI Number Information
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NPI Number | 1760545107
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Entity Type | Organization
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Legal Business Name | MCCULLOUGH-HYDE MEMORIAL HOSPITAL
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5151 MORNING SUN RD
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City | OXFORD
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State | OH
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Zip | 45056-9545
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Country | US
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Telephone | 513-664-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 8 APPLEWOOD CIR
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City | OXFORD
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State | OH
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Zip | 45056-2818
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Country | US
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Telephone | 513-523-2173
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. LESLIE ANNE MILLIGAN
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Credential | PT
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Telephone | 513-664-3800
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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 | 011598
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License Number State | OH
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