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General NPI Number Information
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NPI Number | 1427266717
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Entity Type | Individual
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Provider Name | SEFTON VERGANO MD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 11/09/2016
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Provider Practice Location Address
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Address Line | 3100 PRINCETON PIKE BUILDING 4, SUITE G
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-896-0075
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Fax |
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Provider Business Mailing Address
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Address Line | 3100 PRINCETON PIKE BUILDING 4, SUITE G
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City | LAWRENCEVILLE
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State | NJ
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Zip | 08648-2300
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Country | US
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Telephone | 609-896-0075
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MT184134
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 25MA08613800
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License Number State | NJ
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