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General NPI Number Information
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NPI Number | 1437450087
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Entity Type | Individual
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Provider Name | VINCENT PETER DILORENZO DDS
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Gender | Male
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Dates
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Enumeration Date | 11/14/2010
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Last Update Date | 11/14/2010
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Provider Practice Location Address
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Address Line | 2401 PENNSYLVANIA AVE UNIT # 20-B27
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3010
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Country | US
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Telephone | 215-763-5369
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Fax | 800-430-8849
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Provider Business Mailing Address
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Address Line | 2401 PENNSYLVANIA AVE UNIT # 20-B27
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City | PHILADELPHIA
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State | PA
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Zip | 19130-3010
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Country | US
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Telephone | 215-763-5369
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Fax | 800-430-8849
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS019892L
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License Number State | PA
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