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General NPI Number Information
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NPI Number | 1679026751
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Entity Type | Organization
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Legal Business Name | CENTER FOR VEIN RESTORATION OH LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 3156 DUSTIN ROAD SUITE 100
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City | OREGON
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State | OH
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Zip | 43616-4300
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Country | US
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Telephone | 855-830-8342
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Fax | 240-473-4321
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Provider Business Mailing Address
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Address Line | 7474 GREENWAY CENTER DR SUITE 1000
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City | GREENBELT
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State | MD
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Zip | 20770-3504
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Country | US
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Telephone | 240-965-3258
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Fax | 240-473-4321
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Authorized Official
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Title or Position | M.D./CEO
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Name | SANJIV LAKHANPAL
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Credential | M.D.
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Telephone | 855-830-8346
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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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