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General NPI Number Information
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NPI Number | 1811070709
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE PHYSICAL THERAPY CENTER
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 10/11/2007
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Provider Practice Location Address
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Address Line | 9494 CINCINNATI COLUMBUS RD
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City | CINCINNATI
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State | OH
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Zip | 45241-1161
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Country | US
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Telephone | 513-755-3354
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Fax | 513-755-8021
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Provider Business Mailing Address
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Address Line | 9494 CINCINNATI COLUMBUS RD
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City | CINCINNATI
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State | OH
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Zip | 45241-1161
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Country | US
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Telephone | 513-755-3354
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Fax | 513-755-8021
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MISS TRACEY J DANIEL
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Credential |
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Telephone | 513-755-3354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | PT-8539
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License Number State | OH
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