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General NPI Number Information
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NPI Number | 1215303615
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Entity Type | Organization
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Legal Business Name | ROMINA VINCENTI, DPM INC
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 9100 S SEPULVEDA BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90045-4849
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Country | US
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Telephone | 310-645-3338
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Fax |
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Provider Business Mailing Address
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Address Line | 9100 S SEPULVEDA BLVD STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90045-4849
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DPM/PRESIDENT
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Name | ROMINA VINCENTI
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Credential |
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Telephone | 818-687-2859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E5171
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License Number State | CA
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