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General NPI Number Information
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NPI Number | 1245406396
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Entity Type | Individual
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Provider Name | ROBERT PETER VANDEKAPPELLE JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 04/02/2021
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Provider Practice Location Address
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Address Line | 6505 MARKET ST FL 2
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City | BOARDMAN
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State | OH
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Zip | 44512-3457
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Country | US
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Telephone | 330-629-6085
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Fax | 330-629-7620
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Provider Business Mailing Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308-1063
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Country | US
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Telephone | 330-629-6085
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Fax | 330-629-7620
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 35.093752
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License Number State | OH
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