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General NPI Number Information
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NPI Number | 1861353500
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Entity Type | Organization
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Legal Business Name | AHAVA CARE GROUP OF OHIO LLC
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 21 E STATE ST STE 200
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City | COLUMBUS
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State | OH
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Zip | 43215-0109
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Country | US
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Telephone | 718-516-3581
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Fax | 203-244-8769
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Provider Business Mailing Address
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Address Line | 333 LIVINGSTON PL
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City | CEDARHURST
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State | NY
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Zip | 11516-1427
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Country | US
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Telephone | 718-516-3581
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Fax | 203-244-8769
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Authorized Official
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Title or Position | CREDENTIALING
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Name | MASON YODER
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Credential |
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Telephone | 718-516-3581
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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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