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General NPI Number Information
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NPI Number | 1629281100
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Entity Type | Organization
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Legal Business Name | DENIS J SLABY MD INC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 04/25/2011
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Provider Practice Location Address
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Address Line | 970 E WASHINGTON ST 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 ST 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 | PRESIDENT
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Name | DENIS JOSEPH SLABY
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Credential | MD
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Telephone | 330-722-0333
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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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