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General NPI Number Information
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NPI Number | 1104202993
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Entity Type | Organization
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Legal Business Name | VICTORIA VAMOS, NURSE PRACTITIONER IN FAMILY HEALTH, P.C.
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Dates
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Enumeration Date | 08/04/2015
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 751 COATES AVE SUITE 31
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City | HOLBROOK
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State | NY
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Zip | 11741-6039
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Country | US
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Telephone | 631-580-0000
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Fax | 631-580-0001
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Provider Business Mailing Address
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Address Line | 751 COATES AVE SUITE 31
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City | HOLBROOK
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State | NY
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Zip | 11741-6039
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Country | US
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Telephone | 631-580-0000
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Fax | 631-580-0001
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | MS. VICTORIA VAMOS
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Credential | F.N.P.
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Telephone | 631-580-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | F333441
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License Number State | NY
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