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General NPI Number Information
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NPI Number | 1376930552
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Entity Type | Organization
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Legal Business Name | ARTERY AND VEIN INSTITUTE, LLC
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 03/06/2016
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Provider Practice Location Address
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Address Line | 2924 SWEDE RD
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City | EAST NORRITON
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State | PA
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Zip | 19401-1336
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Country | US
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Telephone | 484-370-8140
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Fax | 484-370-8135
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Provider Business Mailing Address
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Address Line | 2583 COLD SPRING RD
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City | LANSDALE
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State | PA
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Zip | 19446-6065
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | JOSEPH L GRISAFI
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Credential | M.D.
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Telephone | 484-744-1063
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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 | MD427860
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License Number State | PA
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