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General NPI Number Information
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NPI Number | 1487000758
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Entity Type | Organization
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Legal Business Name | VAMANO INC
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 5231 W WOODMILL DR SUITE 45
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-543-5181
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Fax | 302-543-5192
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Provider Business Mailing Address
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Address Line | 5231 W WOODMILL DR SUITE 45
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City | WILMINGTON
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State | DE
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Zip | 19808-4068
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Country | US
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Telephone | 302-543-5181
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Fax | 302-543-5192
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Authorized Official
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Title or Position | DIRECTOR
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Name | RICHARD ROLAND AYOTTE
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Credential | MS, MBA
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Telephone | 302-543-5181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 2010605866
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License Number State | DE
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