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General NPI Number Information
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NPI Number | 1467413997
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Entity Type | Individual
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Provider Name | VINCENT DELLE-DONNE DMD
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Gender | Male
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 13801 TAMIAMI TRL SUITE B
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City | NORTH PORT
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State | FL
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Zip | 34287-2017
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Country | US
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Telephone | 941-426-1134
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Fax |
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Provider Business Mailing Address
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Address Line | 2047 LUCKY ST
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City | PORT CHARLOTTE
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State | FL
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Zip | 33948-1371
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Country | US
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Telephone | 352-514-4708
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN17083
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License Number State | FL
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