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NPI 1497716336

NPI 1497716336 : DENIS JOSEPH SLABY MD : MEDINA, OH

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General NPI Number Information
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    NPI Number           |    1497716336
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    Entity Type          |    Individual 
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    Provider Name        |    DENIS JOSEPH SLABY MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/30/2006
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    Last Update Date     |    10/24/2007
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Provider Practice Location Address
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    Address Line         |    970 E WASHINGTON STE 403
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-3332
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    Country              |    US
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    Telephone            |    330-722-0333
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    Fax                  |    330-723-5431
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Provider Business Mailing Address
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    Address Line         |    970 E WASHINGTON STE 403
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    City                 |    MEDINA
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    State                |    OH
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    Zip                  |    44256-3332
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    Country              |    US
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    Telephone            |    330-722-0333
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    Fax                  |    330-723-5431
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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        |    208800000X
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    Taxonomy Name        |    Urology Physician
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    License Number       |    35042792S
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    License Number State |    OH
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