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General NPI Number Information
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NPI Number | 1689964942
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Entity Type | Individual
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Provider Name | ERIC JOHN PAUL CHANOWSKI M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/07/2011
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 3000 ARLINGTON AVE
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City | TOLEDO
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State | OH
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Zip | 43614-2598
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Country | US
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Telephone | 419-383-3556
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Fax | 419-383-3550
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Provider Business Mailing Address
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Address Line | 3000 ARLINGTON AVE STOP 1108
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City | TOLEDO
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State | OH
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Zip | 43614-2595
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Country | US
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Telephone |
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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 | TRN: 19585
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME130490
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number | 4301508317
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 35.134692
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License Number State | OH
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