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General NPI Number Information
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NPI Number | 1669448072
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Entity Type | Individual
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Provider Name | ROBERT VADNAL MD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 211 W MAIN ST
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City | STERLING
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State | CO
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Zip | 80751-3168
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Country | US
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Telephone | 970-522-4549
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Fax | 970-522-6898
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Provider Business Mailing Address
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Address Line | 514 LINDA VISTA AVE.
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City | PUEBLO
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State | CO
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Zip | 81005-1711
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Country | US
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Telephone | 719-248-4328
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Fax | 719-299-4986
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD #21453
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | CDRH0021453
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License Number State | CO
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