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NPI 1689678625

NPI 1689678625 : NORMAN G ZAVELA M.D. : OREGON, OH

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General NPI Number Information
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    NPI Number           |    1689678625
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    Entity Type          |    Individual 
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    Provider Name        |    NORMAN G ZAVELA M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/08/2005
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    Last Update Date     |    11/03/2023
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Provider Practice Location Address
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    Address Line         |    2600 NAVARRE AVE 
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    City                 |    OREGON
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    State                |    OH
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    Zip                  |    43616-3207
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    Country              |    US
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    Telephone            |    419-696-7701
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    Fax                  |    419-696-7866
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Provider Business Mailing Address
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    Address Line         |    3812 TRUMAN RD 
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    City                 |    PERRYSBURG
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    State                |    OH
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    Zip                  |    43551-9729
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    Country              |    US
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    Telephone            |    419-345-8129
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    Fax                  |    
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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        |    207L00000X
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    Taxonomy Name        |    Anesthesiology Physician
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    License Number       |    35068488
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    License Number State |    MI
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