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General NPI Number Information
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NPI Number | 1174655153
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Entity Type | Individual
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Provider Name | VINCENT LOUIS DILEO, JR. D.D.S.,M.A.G.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 3320 N HULLEN ST SUITE C
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City | METAIRIE
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State | LA
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Zip | 70002-3471
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Country | US
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Telephone | 504-455-4510
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Fax |
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Provider Business Mailing Address
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Address Line | 3320 N HULLEN ST SUITE C
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City | METAIRIE
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State | LA
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Zip | 70002-3471
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Country | US
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Telephone | 504-455-4510
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 3677
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License Number State | LA
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