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General NPI Number Information
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NPI Number | 1083014435
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Entity Type | Individual
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Provider Name | VINCENT FERRETTI DDS
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Gender | Male
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Dates
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Enumeration Date | 09/03/2014
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 36000 SHOEMAKER LANE SUITE 1051
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City | FORT CAVAZOS
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State | TX
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Zip | 76544
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Country | US
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Telephone | 254-286-7402
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Fax |
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Provider Business Mailing Address
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Address Line | 554 KEILY STREET BUREAU OF MEDICINE AND SURGERY CENT CRED AND PRIV DIR
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City | JACKSONVILLE
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State | FL
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Zip | 32212
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Country | US
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Telephone | 757-953-7011
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12050467-9921
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License Number State | UT
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