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General NPI Number Information
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NPI Number | 1902356033
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Entity Type | Organization
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Legal Business Name | HPHC CARDIAC REHAB
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Dates
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Enumeration Date | 10/13/2016
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Last Update Date | 10/13/2016
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Provider Practice Location Address
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Address Line | 1237 GLEN DR
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City | MILLERSBURG
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State | OH
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Zip | 44654-8958
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Country | US
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Telephone | 330-674-4488
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Fax |
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Provider Business Mailing Address
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Address Line | 981 WOOSTER RD
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City | MILLERSBURG
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State | OH
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Zip | 44654-1536
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Country | US
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Telephone | 330-674-1584
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Fax | 330-674-9314
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Authorized Official
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Title or Position | CFO
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Name | JASON JUSTUS
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Credential |
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Telephone | 330-674-1584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35.062576
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License Number State | OH
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