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NPI 1851369250

NPI 1851369250 : TRANSITION HEALTHCARE ASSOCIATES INC : VERMILLION, OH

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General NPI Number Information
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    NPI Number           |    1851369250
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRANSITION HEALTHCARE ASSOCIATES INC 
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Dates
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    Enumeration Date     |    03/10/2006
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    Last Update Date     |    08/27/2007
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Provider Practice Location Address
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    Address Line         |    1605 ST RT 60 SUITE 3
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    City                 |    VERMILLION
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    State                |    OH
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    Zip                  |    44089
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    Country              |    US
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    Telephone            |    440-967-2508
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    Fax                  |    440-967-4023
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Provider Business Mailing Address
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    Address Line         |    1605 ST RT 60 SUITE 3
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    City                 |    VERMILLION
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    State                |    OH
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    Zip                  |    44089
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    Country              |    US
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    Telephone            |    440-967-2508
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    Fax                  |    440-967-4023
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MICHAEL A FREEMAN 
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    Credential           |    PT
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    Telephone            |    440-967-2508
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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