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General NPI Number Information
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NPI Number | 1952725251
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Entity Type | Individual
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Provider Name | MICHAEL LEE SCHOONOVER MPT
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Gender | Male
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 3705 STATE RD STE 102
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City | ASHTABULA
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State | OH
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Zip | 44004-5904
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Country | US
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Telephone | 440-260-7670
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Fax | 440-536-9118
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Provider Business Mailing Address
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Address Line | 209 BARKER ST # AT
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City | GIRARD
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State | PA
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Zip | 16417-1237
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Country | US
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Telephone | 814-774-0564
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | OHPT10038
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020038
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License Number State | OH
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