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General NPI Number Information
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NPI Number | 1902935976
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Entity Type | Individual
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Provider Name | STEPHANIE LYN AREND PT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 835 N WILLIAMS ST
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City | PAULDING
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State | OH
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Zip | 45879-1064
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Country | US
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Telephone | 419-399-4143
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Fax |
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Provider Business Mailing Address
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Address Line | 11010 ROAD 60
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City | HAVILAND
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State | OH
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Zip | 45851-9620
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Country | US
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Telephone | 419-238-0715
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT06772
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License Number State | OH
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