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General NPI Number Information
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NPI Number | 1497011886
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Entity Type | Individual
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Provider Name | VANESSA MARIE HORMAZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 11/23/2020
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Provider Practice Location Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308
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Country | US
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Telephone | 330-543-8521
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PERKINS SQ
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City | AKRON
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State | OH
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Zip | 44308-1063
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Country | US
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Telephone | 330-543-0541
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 35.133982
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License Number State | OH
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