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General NPI Number Information
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NPI Number | 1932261963
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Entity Type | Organization
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Legal Business Name | PAUL F VANEK JR M D INC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 7537 FREDLE DR
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City | CONCORD TWP
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State | OH
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Zip | 44077-9406
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Country | US
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Telephone | 440-205-5750
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Fax | 440-853-1674
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Provider Business Mailing Address
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Address Line | 7537 FREDLE DR
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City | CONCORD TOWNSHIP
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State | OH
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Zip | 44077-9406
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Country | US
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Telephone | 440-205-5750
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Fax | 440-853-1674
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Authorized Official
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Title or Position | OWNER
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Name | DR. PAUL FRANK VANEK JR.
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Credential | MD, FACS
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Telephone | 440-205-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 35-07-0303
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License Number State | OH
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