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General NPI Number Information
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NPI Number | 1528051471
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Entity Type | Individual
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Provider Name | JOHN OVID VLAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 05/04/2021
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Provider Practice Location Address
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Address Line | 2219 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6105
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Country | US
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Telephone | 330-841-7332
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Fax | 330-841-7329
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Provider Business Mailing Address
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Address Line | 2219 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6105
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Country | US
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Telephone | 330-841-7332
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Fax | 330-841-7329
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35024361V
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License Number State | OH
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