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NPI 1588607949

NPI 1588607949 : BLANCHARD VALLEY REGIONAL HEALTH CENTER : BLUFFTON, OH

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General NPI Number Information
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    NPI Number           |    1588607949
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    Entity Type          |    Organization 
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    Legal Business Name  |    BLANCHARD VALLEY REGIONAL HEALTH CENTER 
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Dates
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    Enumeration Date     |    06/14/2006
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    Last Update Date     |    01/13/2022
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Provider Practice Location Address
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    Address Line         |    139 GARAU ST 
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    City                 |    BLUFFTON
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    State                |    OH
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    Zip                  |    45817-1027
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    Country              |    US
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    Telephone            |    419-358-9010
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    Fax                  |    419-423-5550
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Provider Business Mailing Address
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    Address Line         |    1900 SOUTH MAIN ST 
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    City                 |    FINDLAY
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    State                |    OH
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    Zip                  |    45840-1214
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    Country              |    US
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    Telephone            |    419-423-5262
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    Fax                  |    419-423-5550
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Authorized Official
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    Title or Position    |    VP FINANCE
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    Name                 |     DAVE  CYTLAK 
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    Credential           |    
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    Telephone            |    419-423-5497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology 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        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    208M00000X
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    Taxonomy Name        |    Hospitalist Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    
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    License Number State |    
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