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General NPI Number Information
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NPI Number | 1174681761
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Entity Type | Organization
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Legal Business Name | CVMS SPECIALIST LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 1 ROSS PARK BLVD SUITE 105
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-282-8746
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Fax | 740-282-2800
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Provider Business Mailing Address
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Address Line | 1 ROSS PARK BLVD SUITE 105
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City | STEUBENVILLE
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State | OH
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Zip | 43952-2681
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Country | US
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Telephone | 740-282-8746
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Fax | 740-282-2800
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAYAPAL REDDY
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Credential | MD
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Telephone | 740-282-8746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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