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General NPI Number Information
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NPI Number | 1477988681
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Entity Type | Organization
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Legal Business Name | HOPE VASCULAR SURGICAL ASSOCIATES INC.
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Dates
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Enumeration Date | 09/06/2013
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Last Update Date | 07/11/2017
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Provider Practice Location Address
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Address Line | 250 STANAFORD RD
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City | BECKLEY
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State | WV
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Zip | 25801-3140
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Country | US
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Telephone | 304-255-3601
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Fax | 681-318-3502
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Provider Business Mailing Address
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Address Line | P.O. BOX 5536
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City | BECKLEY
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State | WV
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Zip | 25801-5536
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Country | US
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Telephone | 681-318-3501
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Fax | 681-318-3502
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Authorized Official
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Title or Position | MANAGING EMPLOYEE
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Name | OVIE APPRESAI
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Credential | M.D.
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Telephone | 681-318-3501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 24460
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License Number State | WV
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 24660
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License Number State | WV
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