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General NPI Number Information
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NPI Number | 1225269970
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Entity Type | Individual
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Provider Name | CAMELIA SIDONIA VITOC M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 218 SUNSET RD FL 5
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City | WILLINGBORO
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State | NJ
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Zip | 08046-1110
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Country | US
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Telephone | 609-444-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone | 856-355-0340
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LL31972
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 25MA09173500
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License Number State | NJ
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