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General NPI Number Information
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NPI Number | 1972797736
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL DESIGNS AND REHAB SERVICES
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 5038 STELLAR CT
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8951
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Country | US
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Telephone | 513-205-7002
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Fax | 513-755-9924
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Provider Business Mailing Address
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Address Line | 5038 STELLAR CT
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City | LIBERTY TOWNSHIP
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State | OH
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Zip | 45044-8951
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Country | US
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Telephone | 513-205-7002
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Fax | 513-755-9924
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TIMOTHY ANDREW DIRR
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Credential | MOT, OTR/L
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Telephone | 513-205-7002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 6088
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License Number State | OH
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