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General NPI Number Information
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NPI Number | 1821177932
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Entity Type | Organization
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Legal Business Name | REHAB EXCLUSIVE
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8876 BETONY CT
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-6770
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Country | US
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Telephone | 614-208-1982
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Fax |
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Provider Business Mailing Address
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Address Line | 8876 BETONY CT
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City | REYNOLDSBURG
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State | OH
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Zip | 43068-6770
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Country | US
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Telephone | 614-208-1982
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Fax |
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Authorized Official
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Title or Position | OTR/L; GENERAL PARTNER
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Name | MRS. ARYANA B. WALTON-THOMPSON
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Credential |
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Telephone | 614-208-1982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT-5426
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License Number State | OH
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