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General NPI Number Information
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NPI Number | 1477618841
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Entity Type | Organization
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Legal Business Name | JOSEPH V GIRGENTI OD INC
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 17 VILLAGE PLAZA WAY BOX 4
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City | N SCITUATE
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State | RI
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Zip | 02857-1849
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Country | US
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Telephone | 401-934-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 17 VILLAGE PLAZA WAY
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City | N SCITUATE
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State | RI
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Zip | 02857-1849
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Country | US
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Telephone | 401-934-2800
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH VICTOR GIRGENTI
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Credential | O.D.
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Telephone | 401-934-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODTA00432
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License Number State | RI
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