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NPI 1811203128

NPI 1811203128 : WARREN OHIO REHAB HOSPITAL COMPANY LLC : WARREN, OH

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General NPI Number Information
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    NPI Number           |    1811203128
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    Entity Type          |    Organization 
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    Legal Business Name  |    WARREN OHIO REHAB HOSPITAL COMPANY LLC 
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Dates
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    Enumeration Date     |    08/24/2010
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    Last Update Date     |    08/24/2010
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Provider Practice Location Address
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    Address Line         |    8747 SQUIRES LN NE 
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    City                 |    WARREN
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    State                |    OH
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    Zip                  |    44484-1649
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    Country              |    US
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    Telephone            |    615-465-7000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7100 COMMERCE WAY STE 180
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-2829
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    Country              |    US
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    Telephone            |    615-465-7000
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    Fax                  |    615-465-3007
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DEBBIE T BREWER 
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    Credential           |    
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    Telephone            |    615-465-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TR0400X
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    Taxonomy Name        |    Rehabilitation Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    231H00000X
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    Taxonomy Name        |    Audiologist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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