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General NPI Number Information
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NPI Number | 1376536201
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Entity Type | Individual
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Provider Name | VINCENT JOSEPH DEVIRGILIO JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 04/13/2010
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Provider Practice Location Address
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Address Line | 544 CANTON ST
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City | WESTWOOD
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State | MA
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Zip | 02090-2214
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Country | US
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Telephone | 781-326-2642
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Fax |
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Provider Business Mailing Address
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Address Line | 544 CANTON ST
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City | WESTWOOD
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State | MA
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Zip | 02090-2214
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Country | US
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Telephone | 781-326-2642
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 17497
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License Number State | MA
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