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General NPI Number Information
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NPI Number | 1770545220
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Entity Type | Organization
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Legal Business Name | FERNANDEZ RENNER AND SCAIA PHYSICAL THERAPY CLINIC INC
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 01/11/2013
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Provider Practice Location Address
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Address Line | 4426 WHIPPLE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2646
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Country | US
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Telephone | 330-492-1222
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Fax | 330-492-1382
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Provider Business Mailing Address
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Address Line | 4426 WHIPPLE AVE NW
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City | CANTON
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State | OH
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Zip | 44718-2646
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Country | US
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Telephone | 330-492-1222
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Fax | 330-492-1382
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. MIKE CROCKER
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Credential |
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Telephone | 330-492-1222
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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 |
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License Number State |
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