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General NPI Number Information
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NPI Number | 1801808449
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Entity Type | Organization
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Legal Business Name | WSB REHABILITATION SERVICES, INC
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 4329 MAHONING AVE NW
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City | WARREN
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State | OH
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Zip | 44483-1974
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Country | US
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Telephone | 330-702-0110
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Fax | 330-702-0510
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Provider Business Mailing Address
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Address Line | 510 W MAIN ST SUITE B
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City | CANFIELD
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State | OH
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Zip | 44406-1454
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Country | US
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Telephone | 330-702-0110
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Fax | 330-702-0510
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. MELISSA M URIOSTE
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Credential | CONTROLLER
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Telephone | 330-702-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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