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General NPI Number Information
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NPI Number | 1255876751
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Entity Type | Individual
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Provider Name | VINCENT NETTO PHARMD
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Gender | Male
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 264 SMITH TOWNSHIP STATE RD STE 5
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City | BURGETTSTOWN
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State | PA
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Zip | 15021-2124
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Country | US
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Telephone | 330-774-8823
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 ELEMENT WAY APT 12102
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City | WILMINGTON
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State | NC
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Zip | 28412-1625
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Country | US
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Telephone | 330-774-8823
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP450706
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License Number State | PA
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