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General NPI Number Information
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NPI Number | 1780763763
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Entity Type | Organization
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Legal Business Name | ADVANCED REHABILITATION AND HEALTH SPECIALISTS INC
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 4707 MILL STREET
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City | MANTUA
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State | OH
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Zip | 44255
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Country | US
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Telephone | 330-274-2747
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Fax | 330-274-0337
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Provider Business Mailing Address
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Address Line | 4707 MILL ST
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City | MANTUA
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State | OH
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Zip | 44255-8934
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Country | US
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Telephone | 330-274-2747
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Fax | 330-274-0337
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | DR. EDIE KNOWLTON BENNER
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Credential | PH.D.
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Telephone | 330-274-2747
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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 | 3343
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License Number State | OH
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