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General NPI Number Information
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NPI Number | 1992931901
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Entity Type | Organization
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Legal Business Name | CGB THERAPY AND CONSULTING
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Dates
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Enumeration Date | 06/04/2009
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Last Update Date | 06/04/2009
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Provider Practice Location Address
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Address Line | 4466 DARROW RD SUITE 9
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City | STOW
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State | OH
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Zip | 44224-1866
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Country | US
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Telephone | 330-688-1433
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Fax | 330-688-1434
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Provider Business Mailing Address
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Address Line | 4466 DARROW RD SUITE 9
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City | STOW
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State | OH
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Zip | 44224-1866
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Country | US
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Telephone | 330-688-1433
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Fax | 330-688-1434
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Authorized Official
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Title or Position | OWNER
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Name | SAMANTHA BILLIG
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Credential |
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Telephone | 330-688-1433
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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 |
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License Number State | OH
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