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General NPI Number Information
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NPI Number | 1710938659
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Entity Type | Organization
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Legal Business Name | REGIONAL VASCULAR & VEIN INSTITUTE INC
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 6046 WHIPPLE AVE NW STE 100
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City | NORTH CANTON
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State | OH
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Zip | 44720-7616
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Country | US
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Telephone | 234-347-0450
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Fax |
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Provider Business Mailing Address
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Address Line | 6046 WHIPPLE AVE NW STE 100
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City | NORTH CANTON
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State | OH
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Zip | 44720-7616
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Country | US
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Telephone | 330-588-8900
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | VALERIE EVANS
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Credential |
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Telephone | 330-760-2295
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 35071936
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License Number State | OH
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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 | 35071936
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License Number State | OH
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