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General NPI Number Information
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NPI Number | 1518372036
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Entity Type | Individual
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Provider Name | VICTORIA FASICK D.O
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1044 BELMONT AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44504-1006
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Country | US
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Telephone | 330-480-7320
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Fax | 330-729-1591
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Provider Business Mailing Address
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Address Line | 800 GARFIELD AVE
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City | PARKERSBURG
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State | WV
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Zip | 26101-5340
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Country | US
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Telephone | 304-424-2111
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 036170036
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 3157
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License Number State | WV
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0116027393
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License Number State | VA
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