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General NPI Number Information
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NPI Number | 1265833214
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Entity Type | Organization
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Legal Business Name | VASCULAR SOLUTIONS LLC
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 3755 ORANGE PL STE 101
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 216-468-6310
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 ORANGE PL STE 101
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City | BEACHWOOD
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State | OH
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Zip | 44122-4455
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Country | US
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Telephone | 216-468-6310
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CHERYL L WINTERICH
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Credential |
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Telephone | 216-658-0457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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