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General NPI Number Information
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NPI Number | 1275093312
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Entity Type | Individual
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Provider Name | ALEXANDER DIBARTOLOMEO
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Gender | Male
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 530 1ST AVE FL 11
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City | NEW YORK
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State | NY
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Zip | 10016-6402
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Country | US
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Telephone | 212-263-7311
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 SAN PABLO ST STE 4300
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City | LOS ANGELES
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State | CA
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Zip | 90033-5330
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Country | US
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Telephone | 323-442-5755
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Fax | 323-442-6887
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 337697
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License Number State | NY
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