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General NPI Number Information
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NPI Number | 1053127852
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Entity Type | Organization
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Legal Business Name | RONALD H VESCIO DDS
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Dates
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Enumeration Date | 12/06/2024
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 2677 INNSBRUCK DR STE B
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-9300
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Country | US
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Telephone | 651-631-3777
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Fax | 651-631-2661
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Provider Business Mailing Address
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Address Line | 2677 INNSBRUCK DR STE B
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-9300
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Country | US
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Telephone | 651-631-3777
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Fax | 651-631-2661
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD HOWARD VESCIO
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Credential | DDS
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Telephone | 612-845-7229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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