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General NPI Number Information
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NPI Number | 1336324094
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Entity Type | Organization
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Legal Business Name | HEALTH SOLUTION CENTER OF VERMILION, INC
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Dates
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Enumeration Date | 12/31/2007
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Last Update Date | 02/24/2015
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Provider Practice Location Address
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Address Line | 4733 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3206
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Country | US
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Telephone | 440-967-4226
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Fax | 440-967-0296
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Provider Business Mailing Address
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Address Line | 4733 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3206
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Country | US
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Telephone | 440-967-4226
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Fax | 440-967-0296
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. MAZIAR NEJADFARD
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Credential | DC
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Telephone | 440-967-4226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3100
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3541
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 011085
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3032
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License Number State | OH
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