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General NPI Number Information
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NPI Number | 1851488076
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Entity Type | Organization
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Legal Business Name | LVA MED.CENTER, CHILLICOTHE, OHIO
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 17273 STATE ROUTE 104
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-8608
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Country | US
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Telephone | 740-773-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 4111 LONGHILL RD
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City | COLUMBUS
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State | OH
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Zip | 43220-4847
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Country | US
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Telephone | 614-459-7457
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Fax |
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Authorized Official
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Title or Position | CARDIOLOGIST
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Name | DR. ILIAS ZEN
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Credential | M.D.
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Telephone | 740-773-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NR1301X
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Taxonomy Name | Rural Acute Care Hospital
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License Number | 146253-1
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License Number State | NY
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