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General NPI Number Information
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NPI Number | 1083302673
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Entity Type | Individual
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Provider Name | REBECCA MARY VIGNOGNA DMD
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Gender | Female
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1478 POST RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-5938
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Country | US
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Telephone | 203-255-6851
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Fax |
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Provider Business Mailing Address
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Address Line | 1177 MAMARONECK AVE
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City | WHITE PLAINS
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State | NY
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Zip | 10605-4806
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Country | US
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Telephone | 315-558-9187
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 14510
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License Number State | CT
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