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General NPI Number Information
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NPI Number | 1366455123
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Entity Type | Organization
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Legal Business Name | VASCULAR CONSULTANTS PA
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 08/20/2007
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Provider Practice Location Address
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Address Line | 4765 OGLETOWN STANTON RD SUITE 1E20
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City | NEWARK
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State | DE
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Zip | 19713-8003
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Country | US
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Telephone | 302-733-5700
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Fax | 302-733-5775
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Provider Business Mailing Address
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Address Line | 4765 OGLETOWN STANTON RD SUITE 1E20
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City | NEWARK
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State | DE
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Zip | 19713-8003
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Country | US
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Telephone | 302-733-5700
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Fax | 302-733-5775
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM J SCHICKLER
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Credential | M.D.
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Telephone | 302-733-5312
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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 | 1989032271
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License Number State | DE
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