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General NPI Number Information
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NPI Number | 1053578757
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Entity Type | Individual
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Provider Name | CHEVONE R VENT MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 245 TARHE TRL
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City | UPPER SANDUSKY
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State | OH
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Zip | 43351-8700
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Country | US
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Telephone | 419-294-1525
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Fax |
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Provider Business Mailing Address
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Address Line | 885 N SANDUSKY AVE
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City | UPPER SANDUSKY
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State | OH
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Zip | 43351-1031
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Country | US
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Telephone | 419-294-5358
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Fax | 419-294-2233
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35096854
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License Number State | OH
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