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General NPI Number Information
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NPI Number | 1780584334
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Entity Type | Organization
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Legal Business Name | PRECISION VEIN AND ACCESS CENTER LLC
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Dates
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Enumeration Date | 11/07/2026
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Last Update Date | 11/07/2026
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Provider Practice Location Address
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Address Line | 3100 MAIN ST STE 1355
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City | MAUMEE
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State | OH
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Zip | 43537-7546
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Country | US
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Telephone | 419-770-2727
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Fax | 419-749-6262
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Provider Business Mailing Address
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Address Line | 3100 MAIN ST STE 1355
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City | MAUMEE
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State | OH
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Zip | 43537-7546
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Country | US
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Telephone | 419-770-2727
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Fax | 419-749-6262
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Authorized Official
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Title or Position | OWNER
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Name | DUNEA SALEM ETTAHER
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Credential |
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Telephone | 419-770-2727
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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 |
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License Number State |
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