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General NPI Number Information
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NPI Number | 1548217243
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Entity Type | Organization
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Legal Business Name | VASCULAR ACCESS SERVICES PLLC
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 02/03/2021
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Provider Practice Location Address
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Address Line | 397 LITTLE NECK RD STE 150 3300 SOUTH BLDG
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-5770
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Country | US
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Telephone | 757-333-3870
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Fax | 757-333-3880
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Provider Business Mailing Address
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Address Line | PO BOX 931709
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City | ATLANTA
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State | GA
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Zip | 31193-1709
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Country | US
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Telephone | 610-644-8900
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | MICHAEL MARCINCZYK
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Credential | MD
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Telephone | 757-333-7387
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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