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General NPI Number Information
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NPI Number | 1407439714
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Entity Type | Organization
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Legal Business Name | MEREDITH VANDEGRIFT, MD, PC
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 100 E MAIN ST
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City | HUNTINGTON
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State | NY
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Zip | 11743-2847
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Country | US
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Telephone | 631-935-0303
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Fax | 631-935-7616
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Provider Business Mailing Address
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Address Line | 100 EAST MAIN STREET
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City | HUNTINGTON
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State | NY
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Zip | 11743-6064
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Country | US
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Telephone | 631-935-0303
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Fax | 631-935-7616
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MEREDITH VANDEGRIFT
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Credential | MD
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Telephone | 631-935-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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