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General NPI Number Information
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NPI Number | 1841046778
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Entity Type | Organization
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Legal Business Name | FORTITUDE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 5748 STATE ROUTE 13 NORTH
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City | GREENWICH
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State | OH
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Zip | 44878
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Country | US
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Telephone | 419-651-7743
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Fax |
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Provider Business Mailing Address
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Address Line | 1973 STONERIDGE DR
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City | ASHLAND
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State | OH
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Zip | 44805-4583
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Country | US
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Telephone | 419-651-7743
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DANIEL DONATINI JR.
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Credential | PT
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Telephone | 419-651-7743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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