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General NPI Number Information
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NPI Number | 1407991532
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Entity Type | Organization
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Legal Business Name | CARDONE REPRODUCTIVE MEDICINE & INFERTILITY, LLC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 2 MAIN ST SUITE 150
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City | STONEHAM
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State | MA
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Zip | 02180-3335
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Country | US
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Telephone | 781-438-9600
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Fax | 781-438-9601
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Provider Business Mailing Address
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Address Line | 2 MAIN ST SUITE 150
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City | STONEHAM
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State | MA
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Zip | 02180-3335
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Country | US
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Telephone | 781-438-9600
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Fax | 781-438-9601
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. VITO R S CARDONE
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Credential | MD
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Telephone | 781-438-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | 56751
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License Number State | MA
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