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General NPI Number Information
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NPI Number | 1376266239
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Entity Type | Individual
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Provider Name | NORMAN ROBERT VINCENT MD
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Gender | Male
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 36133 VIREO CIR
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City | OCEAN VIEW
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State | DE
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Zip | 19970-8006
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Country | US
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Telephone | 302-581-2526
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Fax |
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Provider Business Mailing Address
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Address Line | 36133 VIREO CIR
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City | OCEAN VIEW
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State | DE
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Zip | 19970-8006
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Country | US
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Telephone | 302-581-2526
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 12061
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License Number State | CT
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