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General NPI Number Information
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NPI Number | 1477602811
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Entity Type | Organization
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Legal Business Name | FAYETTE COUNTY
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/16/2013
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Provider Practice Location Address
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Address Line | 317 S FAYETTE ST
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City | WASHINGTON CH
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State | OH
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Zip | 43160-2449
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Country | US
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Telephone | 740-335-5910
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Fax | 740-333-3528
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Provider Business Mailing Address
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Address Line | 317 S FAYETTE ST
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City | WASHINGTON CH
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State | OH
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Zip | 43160-2449
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Country | US
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Telephone | 740-335-5910
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Fax | 740-333-3528
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Authorized Official
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Title or Position | HEALTH COMMISSIONER
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Name | DR. ROBERT C VANZANT
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Credential | DVM
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Telephone | 740-335-5910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number | 34004278
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License Number State | OH
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