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General NPI Number Information
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NPI Number | 1366689929
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Entity Type | Individual
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Provider Name | BENEDETTO VITIELLO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/19/2009
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 5225 WISCONSIN AVE NW STE 400
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City | WASHINGTON
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State | DC
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Zip | 20015-2055
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Country | US
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Telephone | 202-363-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 5801 MIDHILL ST
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City | BETHESDA
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State | MD
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Zip | 20817-6138
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Country | US
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Telephone | 240-234-1621
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | D39092
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD19117
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License Number State | DC
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