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General NPI Number Information
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NPI Number | 1689835415
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Entity Type | Organization
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Legal Business Name | SPECIALTY PHYSICIANS OF BLANCHARD VALLEY LLC
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 01/25/2023
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Provider Practice Location Address
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Address Line | 1900 S 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 | 419-423-4500
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Fax | 419-423-5358
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Provider Business Mailing Address
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Address Line | 1900 S 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 | 419-423-5370
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Fax | 419-423-5292
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | DAVID 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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35123397
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) 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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 35063285
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology 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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) 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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 35099817
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 35125243
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35074063
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License Number State | OH
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Taxonomy #12
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #13
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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Taxonomy #14
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 6451
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License Number State | OH
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Taxonomy #15
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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