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General NPI Number Information
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NPI Number | 1790970234
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Entity Type | Organization
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Legal Business Name | JOHN O. VLAD MD, INC.
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Dates
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Enumeration Date | 09/07/2007
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 2219 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6105
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Country | US
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Telephone | 330-841-7337
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Fax | 330-841-7329
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Provider Business Mailing Address
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Address Line | 2219 E MARKET ST
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City | WARREN
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State | OH
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Zip | 44483-6105
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Country | US
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Telephone | 330-841-7337
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Fax | 330-841-7329
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | JOHN OVID VLAD
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Credential | MD
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Telephone | 330-841-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 35-024361-V
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License Number State | OH
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